Individual
AIJHA CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LAT, ATC
Contact information
Practice address
3450 HULL RD, GAINESVILLE, FL 32607-4144
(352) 273-7005
Mailing address
505 SW 2ND AVE UNIT 6207, GAINESVILLE, FL 32601-6223
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
7003
FL
Other
Enumeration date
07/24/2023
Last updated
03/06/2024
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