Individual
DANIELLE S CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
921 E 3RD ST, CHATTANOOGA, TN 37403-2102
(423) 209-8000
Mailing address
921 E 3RD ST, CHATTANOOGA, TN 37403-2102
(423) 209-8000
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
163539
TN
Other
Enumeration date
08/03/2011
Last updated
08/03/2011
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