Search › Washington › 305R00000X
Loretta Clark, LMP
NPI 1720377278 · on the registry since 2011 · sole proprietor
Practice
- Address
- 216 W Pacific Ave
Suite 205
Spokane, WA 99201 - Phone
- (509) 413-7070
- Organisation at this address
- Pure Skin Spa,Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 305R00000X
305R00000X
- Licence states on file
- WA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2014-11-10
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Washington