Individual
MARLA CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6558 LUBARRETT WAY, MOBILE, AL 36695-3825
(251) 402-1826
(251) 287-8477
Mailing address
6558 LUBARRETT WAY, MOBILE, AL 36695-3825
(251) 402-1826
(251) 287-8477
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
1032963
AL
Other
Enumeration date
10/15/2014
Last updated
10/15/2014
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