LEAH DIANE CLARK

TAMPA, FL
NPI1588616858
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: FL  ARNP3071812)
Enumeration Date2006-05-16
Last Update Date2007-07-08
Business Address
-- LEAH DIANE CLARK ARNP
3010 W AZEELE ST
TAMPA, FL 33609-3139
Phone number: 813-877-2200
Mailing Address
-- LEAH DIANE CLARK ARNP
14715 TALL TREE DR
LUTZ, FL 33559-3246
Phone number: 813-877-2200