Individual
MS. ELIZABETH CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
4096 W VAN GIESEN ST STE E, WEST RICHLAND, WA 99353-5021
(509) 967-9400
(509) 967-9400
Mailing address
85310 N HARRINGTON RD, WEST RICHLAND, WA 99353-9260
(509) 921-2688
(509) 967-9400
Taxonomy
Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
MA00024200
WA
Other
Enumeration date
02/26/2008
Last updated
04/18/2008
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