TARA CLARK

FREDERICKSBURG, VA
NPI1033703061
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: VA  0024180221)
Enumeration Date2021-02-20
Last Update Date2021-02-20
Business Address
TARA CLARK
6315 WENDOVER CT
FREDERICKSBURG, VA 22407-5061
Phone number: 386-898-4714
Mailing Address
TARA CLARK
6315 WENDOVER CT
FREDERICKSBURG, VA 22407-5061
Phone number: 386-898-4714