| NPI | 1225601164 |
|---|---|
| Doing Business As | JENATTE CLARK DERMATOLOGY |
| Entity Type | Organization |
| Authorized Contact | JENATTE CLARK Family Nurse Practitioner 509-945-7777 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology |
| Enumeration Date | 2021-07-19 |
| Last Update Date | 2021-07-19 |