TACIE A CLARK

IOWA CITY, IA
NPI1346685757
Former NameTACIE A SNYDER
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: IA  103376)
Additional Taxonomies390200000X Student in an Organized Health Care Education/Training Program
(Licence: IA  121414)
Enumeration Date2013-04-30
Last Update Date2015-09-18
Business Address
-- TACIE A CLARK
150 STANWYCK DR
IOWA CITY, IA 52240-5942
Phone number: 319-471-1517
Mailing Address
-- TACIE A CLARK
200 HAWKINS DR
IOWA CITY, IA 52242-1009
Phone number: 319-471-1517