Mr. Terrence Edward Clack
Mr. Terrence Edward Clack is a Community Health Worker in Fairbanks, Alaska. Practices as a sole proprietor. Licensed in Alaska.
- Licensed in
- AK
- In the registry since
- 2022
Practice location Address checks out
1825 Marika RdFairbanks, AK 99709-5521
Phone: (907) 474-0890
Fax: (907) 474-3621
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Specialties & licences
| Community Health Worker (primary) | Taxonomy 172V00000X · Licence 5530941 (AK) |
|---|
Record details
| NPI number | 1962112813 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | December 1, 2022 |
| Last updated in NPPES | December 1, 2022 |
| Certification date | December 1, 2022 |
| Mailing address | 1825 Marika Rd, Fairbanks, AK 99709-5521 |
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