ELIZABETH CLARK

ROSWELL, GA
NPI1356706543
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy251K00000X Public Health or Welfare
(Licence: GA  24915)
Enumeration Date2015-12-15
Last Update Date2015-12-15
Business Address
-- ELIZABETH CLARK
295 BROADMEADOW CV
ROSWELL, GA 30075-2950
Phone number: 770-993-7918
Mailing Address
-- ELIZABETH CLARK
295 BROADMEADOW CV
ROSWELL, GA 30075-2950
Phone number: 770-993-7918