Individual
CALVIN CLARKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
11019 CANYON RD E STE A, PUYALLUP, WA 98373-3001
(253) 537-0293
(253) 537-7650
Mailing address
PO BOX 5127, EVERETT, WA 98206-5127
(253) 537-0293
(253) 537-7650
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP60498791
WA
Other
Enumeration date
10/01/2015
Last updated
09/11/2020
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