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Susanne Clark, STUDENT
Student in an Organized Health Care Education/Training Program in Tacoma, Washington
NPI 1134786981

Susanne Clark is a Student in an Organized Health Care Education/Training Program based in Kirkland, WA. Susanne Clark practices in Tacoma, WA and has the professional credentials of STUDENT. The NPI Number for Susanne Clark is 1134786981 and holds a License No. (Washington).

The current practice location address for Susanne Clark is 1717 S J St, Tacoma, WA and can be reached out via phone at 253-426-4101.

Location: 1717 S J St, Tacoma, WA, 98033-3607
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1134786981
Provider Name
Susanne Clark
Credential
STUDENT
Provider Entity Type
Individual
Gender
Female
Address
1717 S J St, Tacoma, WA, 98033-3607
Phone Number
253-426-4101
Fax Number
Provider Enumeration Date
05/28/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1717 S J St
City
Tacoma
State
Washington
Zip
98405-4933
Phone Number
253-426-4101
Fax Number
person
Provider Business Mailing Address Details
Address
1717 S J St
City
Tacoma
State
Washington
Zip
98405-4933
Phone Number
253-426-4101
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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