Organization
NANAMAE LLC
Active
Other names
Smith Chiropractic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAYMOND RYAN CLARK D.C. (CHIEF EXECUTIVE)
(903) 586-1536
Entity
Organization
Contact information
Practice address
1401 E RUSK ST, JACKSONVILLE, TX 75766-3400
(903) 586-1536
Mailing address
1401 E RUSK ST, JACKSONVILLE, TX 75766-3400
(903) 586-1536
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
10/09/2013
Last updated
10/09/2013
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