Individual
WILLIAM CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7 REEF RD, ANDERSON, GU 83901
(202) 613-7784
Mailing address
7 REEF RD, ANDERSON, GU 83901
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
11/15/2014
Last updated
09/13/2016
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