JOHN HENRY CLARK

PENSACOLA, FL
NPI1821094046
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: FL  RN 3072412)
Additional Taxonomies367500000X Nurse Anesthetist, Certified Registered
(Licence: CT  R40669)
367500000X Nurse Anesthetist, Certified Registered
(Licence: AL  1-097045)
367500000X Nurse Anesthetist, Certified Registered
(Licence: TX  690232)
367500000X Nurse Anesthetist, Certified Registered
(Licence: CA  RN491358/NA2011)
Enumeration Date2005-06-22
Last Update Date2010-11-24
Business Address
Mr. JOHN HENRY CLARK CRNA
5049 AVOCET LN
PENSACOLA, FL 32514-8082
Phone number: 850-494-7079
Mailing Address
Mr. JOHN HENRY CLARK CRNA
5049 AVOCET LN
PENSACOLA, FL 32514-8082
Phone number: 850-494-7079