Individual
MRS. JERI LYNN CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPM, LM
Contact information
Practice address
20158 FM 1253, LINDALE, TX 75771-3402
(903) 787-9917
Mailing address
20158 FM 1253, LINDALE, TX 75771-3402
(903) 787-9917
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
99166
TX
Other
Enumeration date
01/21/2013
Last updated
01/21/2013
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