Individual
CYNTHEA CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BC-HIS
Contact information
Practice address
8935 S PECOS RD STE 21A, HENDERSON, NV 89074-7155
(725) 333-4327
(702) 921-6370
Mailing address
8935 S PECOS RD STE 21A, HENDERSON, NV 89074-7155
(725) 333-4327
(702) 921-6370
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
HAS-513
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
23
—
NV
Enumeration date
10/01/2012
Last updated
08/04/2020
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