Individual
KAIYA CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1825 E NORTHERN AVE STE 200, PHOENIX, AZ 85020-3972
(626) 714-1070
Mailing address
8989 N GAINEY CENTER DR UNIT 229, SCOTTSDALE, AZ 85258-2115
(808) 347-5123
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
90524
NE
Other
Enumeration date
11/04/2020
Last updated
11/04/2020
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