| NPI | 1023359155 |
|---|---|
| Professional Name | JAY CLARK |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: AR 16169) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: TX 12457) |
| 111N00000X Chiropractor (Licence: KY 5441) | |
| Enumeration Date | 2013-03-14 |
| Last Update Date | 2018-02-08 |