Individual
CATHERINE CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
205 YORKSHIRE RD, TONAWANDA, NY 14150-8350
(716) 332-0454
Mailing address
205 YORKSHIRE RD, TONAWANDA, NY 14150-8350
(716) 332-0454
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
08/15/2012
Last updated
08/15/2012
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