Individual
JESSIAH CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9 VILLAGE INN RD, WESTMINSTER, MA 01473-1643
(978) 571-6050
Mailing address
105 WALLINGFORD AVE, ATHOL, MA 01331-1506
(978) 847-7975
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
11/20/2024
Last updated
11/20/2024
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