Individual
ALYSSA ANN CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1150 EDINA ST, DUBUQUE, IA 52001-4203
(815) 276-1089
Mailing address
1150 EDINA ST, DUBUQUE, IA 52001-4203
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
02/09/2020
Last updated
02/09/2020
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