Individual
JALA A'NIA CLARKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
301 HELEN KELLER BLVD, TUSCALOOSA, AL 35404-5502
(256) 318-1556
Mailing address
2817 MONTROSE DR SW, DECATUR, AL 35603-1100
(256) 318-1556
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
AL
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
AL
Other
Enumeration date
09/05/2025
Last updated
09/05/2025
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