HAILEY A. CLARK FNP-C LLC

IDAHO FALLS, ID
NPI1689269177
Entity TypeOrganization
Authorized ContactHAILEY ANNE CLARK
Owner
208-223-1049
Organization Subpart ?No
Primary Taxonomy261QH0100X Clinic/Center, Health Services
Enumeration Date2021-03-05
Last Update Date2021-03-05
Business Address
HAILEY A. CLARK FNP-C LLC
814 PANCHERI DR
IDAHO FALLS, ID 83402-3344
Phone number: 208-223-1049
Mailing Address
HAILEY A. CLARK FNP-C LLC
4060 DUANE ST
IDAHO FALLS, ID 83401-1846
Phone number: 208-223-1049
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