Individual
MS. ALEXANDRA GRACE CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
HID
Contact information
Practice address
393 DUNLAP ST N STE 115, SAINT PAUL, MN 55104-4203
(651) 646-2427
(651) 649-3018
Mailing address
393 DUNLAP ST N STE 115, SAINT PAUL, MN 55104-4203
(651) 646-2427
(651) 649-3018
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
2861
MN
Other
Enumeration date
07/09/2019
Last updated
07/09/2019
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