Individual
DR. JEANNINE AVIS CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
6915 LAUREL BOWIE ROAD, SUITE 301, BOWIE, MD 20715
(301) 249-8838
(301) 249-5334
Mailing address
6915 LAUREL BOWIE ROAD, SUITE 301, BOWIE, MD 20715
(301) 249-8838
(301) 249-5334
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
D0043862
MD
Other
Enumeration date
06/28/2006
Last updated
06/12/2023
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