Ondrea Clark

NPI #1053712430 in Watertown, New York

Provider Information

NPI Number: 1053712430
Entity Type: Individual
Name: Ondrea Clark
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Specialist
Enumeration Date: Sep 4, 2014
Last Updated: Sep 4, 2014

Practice Location

Address: 21638 REED RD
City: Watertown
State: New York
ZIP Code: 13601-5048
Phone: (315) 786-0677

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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