Individual
COLLEEN CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3975 PRINCETON PIKE, PRINCETON, NJ 08540-4739
(609) 924-2293
Mailing address
3975 PRINCETON PIKE, PRINCETON, NJ 08540-4739
Taxonomy
Speciality
Code
Description
License number
State
174M00000X
Veterinarian
Primary
29V100645900
NJ
Other
Enumeration date
11/19/2013
Last updated
11/19/2013
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