AMANDA M CLARK

RUSTON, LA
NPI1255808085
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: LA  321844)
Enumeration Date2018-10-30
Last Update Date2021-03-20
Business Address
AMANDA M CLARK ATC, LAT
2301 TIMBERLINE CT APT F105
RUSTON, LA 71270
Phone number: 210-827-3950
Mailing Address
AMANDA M CLARK ATC, LAT
2301 TIMBERLINE CT APT F105
RUSTON, LA 71270-5292
Phone number: 210-827-3950