Individual
CHRISTIANNA J CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4100 W 20TH ST, YUMA, AZ 85364-4800
(928) 502-5700
(928) 502-5869
Mailing address
4100 W 20TH ST, YUMA, AZ 85364-4800
(928) 502-5700
(928) 502-5869
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
RN111772
AZ
Other
Enumeration date
08/23/2017
Last updated
07/21/2022
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