Individual
PEYTON ROSE CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
800 S MAIN ST, HARRISONBURG, VA 22807-0001
(540) 568-6211
Mailing address
10220 SPRING CREEK DR, SPOTSYLVANIA, VA 22553-4044
(540) 424-1260
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
01/26/2022
Last updated
01/26/2022
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