LISA M CLARK

TACOMA, WA
NPI1376742841
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy174400000X Specialist
(Licence: WA  MA00024438)
Enumeration Date2007-07-15
Last Update Date2010-03-15
Business Address
Miss LISA M CLARK LMP
4308 N 26TH ST
TACOMA, WA 98407-5211
Phone number: 253-820-1303
Mailing Address
Miss LISA M CLARK LMP
PO BOX 7011
TACOMA, WA 98417-0011
Phone number: 253-820-1303