Tammie Diane Clark, LPN
NPI #1396638748 in Edgewood, Washington
Provider Information
- NPI Number
- 1396638748
- Entity Type
- Individual
- Name
- Tammie Diane Clark, LPN
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Licensed Practical Nurse
- Credential
- LPN
- Enumeration Date
- Jun 2, 2025
- Last Updated
- Jun 2, 2025
Practice Location
- Address
- 9324 TAYLOR ST E
- City
- Edgewood
- State
- Washington
- ZIP Code
- 98371-1249
- Phone
- (770) 910-2743
Specialties & Taxonomy Codes
| Specialty |
|---|
| Licensed Practical Nurse |
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