Individual
SALLY E. CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAC, RN
Contact information
Practice address
71 OLD MILL BOTTOM RD N STE 102, ANNAPOLIS, MD 21409-5446
(443) 994-0087
Mailing address
3110 LANDFALL LN, ANNAPOLIS, MD 21403-4312
(443) 994-0087
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
U02395
MD
Other
Enumeration date
12/30/2019
Last updated
12/30/2019
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