Individual provider · Type 1 NPI

Juanita Clark

Other Technician · Sandusky, MI

NPI number 1306247762 Active

Practice location

227 E Sanilac Rd
Sandusky, MI 48471-1160

Call (810) 583-0432 Map

Fax (810) 648-5107

Specialties and licenses

TaxonomyCodeLicense
Other Technician Primary 247200000XNone listed

Other Technician: A collective term for persons with specialized training in various narrow fields of expertise whose occupations require training and skills in specific technical processes and procedures; and where further classification is deemed unnecessary by the user.

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About NPI 1306247762

Juanita Clark's National Provider Identifier is 1306247762, issued on Sep 4, 2014. The primary taxonomy on file is Other Technician (247200000X), and the practice location is in Sandusky, MI. The record was last updated on Sep 4, 2014.