Jasmine Clark

NPI #1205206158 in Laramie, Wyoming

Provider Information

NPI Number: 1205206158
Entity Type: Individual
Name: Jasmine Clark
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Community Health Worker
Enumeration Date: Oct 5, 2015
Last Updated: Oct 5, 2015

Practice Location

Address: 4989 NORTH 3RD STREET
City: Laramie
State: Wyoming
ZIP Code: 82072-9548
Phone: (307) 745-8997

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community Health Worker	172V00000X	Primary

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