MS. Jennifer Ann Clark

NPI #1053584292 in Lewiston, Idaho

Provider Information

NPI Number: 1053584292
Entity Type: Individual
Name: MS. Jennifer Ann Clark
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Audiologist
Enumeration Date: Apr 9, 2008
Last Updated: Apr 28, 2010

Practice Location

Address: 330 WARNER DR
City: Lewiston
State: Idaho
ZIP Code: 83501-4441
Phone: (208) 746-0193

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Audiologist	231H00000X	Primary

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