Individual
LINDA C CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, CDE
Contact information
Practice address
223 CIBEQUE CIRCLE ROAD, SAN CARLOS, AZ 85550-0208
(928) 475-7205
(928) 475-7370
Mailing address
PO BOX 208, SAN CARLOS, AZ 85550-0208
(928) 475-7205
(928) 475-7370
Taxonomy
Speciality
Code
Description
License number
State
163WD0400X
Diabetes Educator Registered Nurse
Primary
RN046813
AZ
Other
Enumeration date
03/23/2007
Last updated
07/08/2007
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