MICHELLE CLARK

TACOMA, WA
NPI1588804082
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy2080P0006X Pediatrics, Developmental - Behavioral Pediatrics
(Licence: HI  DOS-1211)
Additional Taxonomies208D00000X General Practice
(Licence: HI  DOS-1211)
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2009-02-24
Last Update Date2022-01-06
Business Address
MICHELLE CLARK D.O.
9040 JACKSON AVE
TACOMA, WA 98431-5001
Phone number: 253-968-3885
Mailing Address
MICHELLE CLARK D.O.
1 JARRETT WHITE RD TRIPLER ARMY MEDICAL CENTER
TRIPLER ARMY MEDICAL CENTER, HI 96859-5001
Phone number: