Jayme Marie Clark, PA-C

NPI #1306115142 in South Windsor, Connecticut

Provider Information

NPI Number
1306115142
Entity Type
Individual
Name
Jayme Marie Clark, PA-C
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physician Assistant - Medical
Credential
PA-C
Enumeration Date
Dec 23, 2011
Last Updated
Nov 30, 2012

Practice Location

Address
2800 TAMARACK AVE
Address 2
SUITE 104
ZIP Code
06074-5539
Phone
(860) 648-4480

Specialties & Taxonomy Codes

Specialty
Physician Assistant - MedicalMedical

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