Individual
TARRON JAMES CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LAT, ATC
Contact information
Practice address
2300 ARENAL RD SW, ALBUQUERQUE, NM 87105-4180
(509) 619-6737
Mailing address
2300 ARENAL RD SW, ALBUQUERQUE, NM 87105-4180
(505) 873-0220
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT770
NM
Other
Enumeration date
08/07/2020
Last updated
08/07/2020
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