Randal Mark Clark, D.C. Valid NPI
Individual provider · Chiropractor · Kent, WA
- NPI
- 1407987019
- Type
- Individual (Type 1)
- Primary specialty
- Chiropractor
- Specialty group
- Chiropractic Providers
- Taxonomy code
- 111N00000X
- License number
- 1870 (WA)
- Sex
- Male
- Sole proprietor
- Yes
- Enumerated
- 2007-03-07
- Last updated
- 2007-07-08
Practice location
22711 43rd Ave S
Kent, WA 98032-8467
(253) 373-9902