CLARK RAFAEL HERNANDEZ

KINGSPORT, TN
NPI1306941372
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: TN  PA0000000871)
Enumeration Date2006-09-14
Last Update Date2007-07-08
Business Address
Mr. CLARK RAFAEL HERNANDEZ PAC
THREE SHERIDAN SQUARE
KINGSPORT, TN 37660
Phone number: 423-392-6840
Mailing Address
Mr. CLARK RAFAEL HERNANDEZ PAC
THREE SHERIDAN SQUARE
KINGSPORT, TN 37660
Phone number: 423-392-6840
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