LESLIE A CLARK

PORT ORANGE, FL
NPI1700482163
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: FL  APRN11009779)
Enumeration Date2020-12-09
Last Update Date2022-10-03
Business Address
LESLIE A CLARK APRN
1730 DUNLAWTON AVE STE 1
PORT ORANGE, FL 32127-8986
Phone number: 386-320-3299
Mailing Address
LESLIE A CLARK APRN
1730 DUNLAWTON AVE STE 1
PORT ORANGE, FL 32127-8986
Phone number: 386-320-3299