Individual
ERIN TYLER CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
405 REYNOLDS ST NE, BRANFORD, FL 32008-2861
(386) 935-5614
Mailing address
4171 COUNTY ROAD 252, WELLBORN, FL 32094-2620
(386) 688-0925
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2000008970
FL
Other
Enumeration date
01/30/2019
Last updated
01/30/2019
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