Ricky Lynn Clark
NPI #1639608136 in Brandon, Mississippi
Provider Information
- NPI Number
- 1639608136
- Entity Type
- Individual
- Name
- Ricky Lynn Clark
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Specialist/Technologist - Athletic Trainer
- Enumeration Date
- Jun 8, 2017
- Last Updated
- Jun 8, 2017
Practice Location
- Address
- 904 MUNICIPAL DR
- City
- Brandon
- State
- Mississippi
- ZIP Code
- 39042-2973
- Phone
- (601) 724-7310
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist/Technologist - Athletic Trainer — Athletic Trainer |
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