MRS. Jodi L Clark
NPI #1043348634 in Tennessee Ridge, Tennessee
Provider Information
- NPI Number
- 1043348634
- Entity Type
- Individual
- Name
- MRS. Jodi L Clark
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Technician - Attendant Care Provider
- Enumeration Date
- Mar 2, 2007
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 1330 N MAIN ST
- City
- Tennessee Ridge
- State
- Tennessee
- ZIP Code
- 37178-4003
- Phone
- (931) 721-3312
Specialties & Taxonomy Codes
| Specialty |
|---|
| Technician - Attendant Care Provider — Attendant Care Provider |
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