Individual
REBECCA SUE CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
401 W PENNSYLVANIA AVE, ANACONDA, MT 59711-1999
(406) 563-8500
Mailing address
500 HICKORY ST, ANACONDA, MT 59711-2919
(406) 560-3247
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
NUR-RN-LIC-103949
MT
Other
Enumeration date
08/28/2023
Last updated
08/28/2023
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