Individual
MRS. JULIA MERCY CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
15 S MAIN ST STE 150, JAMESTOWN, NY 14701-6627
(716) 483-6700
Mailing address
15 S MAIN ST STE 150, JAMESTOWN, NY 14701-6627
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
026751-01
NY
Other
Enumeration date
07/14/2021
Last updated
07/14/2021
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