Wiley Clark Branch Valid NPI

Individual provider · Student in an Organized Health Care Education/Training Program · Durant, MS

NPI

1942979232

Type

Individual (Type 1)

Primary specialty

Student in an Organized Health Care Education/Training Program

Specialty group

Student, Health Care

Taxonomy code

390200000X

Sex

Male

Sole proprietor

Yes

Enumerated

2021-09-09

Last updated

2021-09-09