Individual
REBECCA CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CST
Contact information
Practice address
2011 CHURCH ST, PLAZA 1, LOWER LEVEL, NASHVILLE, TN 37203-2000
(615) 151-4018
Mailing address
2019 WOODCREST CIR, MOUNT JULIET, TN 37122-4535
(615) 306-3726
Taxonomy
Speciality
Code
Description
License number
State
246ZS0410X
Surgical Technologist
Primary
—
—
Other
Enumeration date
08/06/2008
Last updated
08/06/2008
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