Individual
MS. TAMARA J CLEMETSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
115 VIVIAN ST., PARK RIVER, ND 58270-4540
(701) 284-7555
(701) 284-4605
Mailing address
P O BOX I, 115 VIVIAN ST., PARK RIVER, ND 58270-0708
(701) 284-7555
(701) 284-4605
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PAC0220
ND
Other
Enumeration date
10/02/2006
Last updated
03/08/2021
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