Individual
TRINETTE CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2957 N OAKWOOD AVE, MUNCIE, IN 47304-2255
(678) 884-3676
Mailing address
2957 N OAKWOOD AVE, MUNCIE, IN 47304-2255
(678) 884-3676
Taxonomy
Speciality
Code
Description
License number
State
246RP1900X
Phlebotomy Technician
Primary
5560
IL
Other
Enumeration date
04/29/2014
Last updated
10/11/2024
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