SAMANTHA IRENE CLARK

FPO, AE
NPI1932510377
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date2014-05-19
Last Update Date2014-05-19
Business Address
-- SAMANTHA IRENE CLARK IDC
PSC 851 BOX 340
FPO, AE 09834-0004
Phone number: 318-439-9053
Mailing Address
-- SAMANTHA IRENE CLARK IDC
PSC 851 BOX 340
FPO, AE 09834-0004
Phone number: 508-361-7875