JAIME CLARK

SUMMERVILLE, SC
NPI1952178303
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363AM0700X Physician Assistant, Medical
Enumeration Date2023-12-06
Last Update Date2023-12-06
Business Address
JAIME CLARK
112 MIKEL CT
SUMMERVILLE, SC 29485-4806
Phone number: 774-313-0827
Mailing Address
JAIME CLARK
112 MIKEL CT
SUMMERVILLE, SC 29485-4806
Phone number:
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