Individual
LAURA MARIANA CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
WASHINGTON DC VA MEDICAL CENTER 50 IRVING ST NW, WASHINGTON, DC 20422-0001
(202) 745-8311
Mailing address
2217 DEL NORTE ST, LOS OSOS, CA 93402-2307
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
05/22/2017
Last updated
05/22/2017
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