Individual
HEATHER CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1181 COPPER CREEK DR, MUSKEGON, MI 49442-4987
(231) 740-2905
Mailing address
1181 COPPER CREEK DR, MUSKEGON, MI 49442-4987
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704239253
MI
Other
Enumeration date
07/30/2024
Last updated
07/30/2024
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