Individual
BAILEY A CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
14125 STURTEVANT RD, SILVER SPRING, MD 20905-4446
(301) 384-0014
Mailing address
14125 STURTEVANT RD, SILVER SPRING, MD 20905-4446
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
01/27/2020
Last updated
01/27/2020
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