Teri Lynn Clark ONCOLOGY ESTHETICIAN

NPI 1013215334 - Specialist - 174400000X

NPI Details
NPI 1013215334
Gender Female
Enumeration Date 03/10/2011
Last Updated 03/10/2011
Entity Type Individual
Active Over 5 years ago
Practice Location
2530 SW 27TH AVE
OCALA FL, 34471-4390, US
Phone (352) 237-6096
Fax (352) 236-6099
Business Location
2530 SW 27TH AVE
OCALA FL, 34471-4390, US
Phone (352) 237-6096
Fax (352) 236-6099
Toxanomy
Taxonomy Code 174400000X
License State Florida
License Number FB9716027
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According to our database, Mrs. Teri Lynn Clark ONCOLOGY ESTHETICIAN NPI is 1013215334, taxonomy code is 174400000X and license number is FB9716027, license state is located at Florida. Teri Lynn Clark ONCOLOGY ESTHETICIAN physically located at 2530 Sw 27th Ave, Ocala FL, 34471-4390. NPI Number Teri Lynn Clark ONCOLOGY ESTHETICIAN has the Individual type.

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1013215334 NPI number is provided on an as is basis without warranty of any kind. 1013215334 is maintained by the National Plan & Provider Enumeration System. The contents of Teri Lynn Clark ONCOLOGY ESTHETICIAN are for informational purposes only.