ELIAS GERRIT CLARK

CEDAR RAPIDS, IA
NPI1780949958
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy246QM0706X Specialist/Technologist, Pathology Medical Technologist
(Licence: IA  240891)
Enumeration Date2012-07-12
Last Update Date2012-07-12
Business Address
ELIAS GERRIT CLARK
531 COUNTRY HILL CT NE APARTMENT 2
CEDAR RAPIDS, IA 52402-8310
Phone number: 605-929-9380
Mailing Address
ELIAS GERRIT CLARK
531 COUNTRY HILL CT NE APARTMENT 2
CEDAR RAPIDS, IA 52402-8310
Phone number: