Individual
ANGELA C CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
18548 S KANAGA LOOP, EAGLE RIVER, AK 99577-8675
(907) 632-3375
Mailing address
1201 N MULDOON RD, ANCHORAGE, AK 99504-6104
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
NURR26908
AK
Other
Enumeration date
02/20/2020
Last updated
02/20/2020
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