Individual
MARK JUSTIN CLARY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMP
Contact information
Practice address
8294 28TH CT NE STE 100, LACEY, WA 98516-7140
(360) 951-9211
Mailing address
390 W INSELS RD, SHELTON, WA 98584-9167
(360) 951-9211
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA60439284
WA
Other
Enumeration date
04/28/2016
Last updated
04/28/2016
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