Bishod Q Clark
Bishod Q Clark is an Athletic Trainer in Pensacola, Florida. Practices as a sole proprietor. Registered with an NPI since 2020.
- In the registry since
- 2020
- Specialties on file
- 2
Practice location Address checks out
10080 Hillview Dr Apt 153-DPensacola, FL 32514-5499
Phone: (850) 501-5002
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Specialties & licences
| Student in an Organized Health Care Education/Training Program (primary) | Taxonomy 390200000X |
|---|---|
| Athletic Trainer | Taxonomy 2255A2300X |
Record details
| NPI number | 1659903110 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | February 12, 2020 |
| Last updated in NPPES | February 12, 2020 |
| Certification date | February 12, 2020 |
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