Individual
MRS. GENEVA LYNN CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
3041 GETWELL RD, SUITE 101, MEMPHIS, TN 38118-3737
(901) 375-1050
(901) 375-1588
Mailing address
80 WHISPERING RIDGE CV, OAKLAND, TN 38060-4639
(901) 466-1912
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
65206
TN
Other
Enumeration date
06/12/2013
Last updated
06/12/2013
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