Individual
ISABELLE LEE CLARKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
430 ROSEWOOD AVE, EAST LANSING, MI 48823-3245
(248) 434-7330
Mailing address
430 ROSEWOOD AVE, EAST LANSING, MI 48823-3245
(248) 434-7330
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
10/02/2018
Last updated
10/02/2018
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