Individual
CONSTANCE CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2792 S 2ND ST, SUITE B, CABOT, AR 72023-7020
(501) 941-3500
Mailing address
2792 S 2ND ST, SUITE B, CABOT, AR 72023-7020
(501) 941-3500
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R097900
AR
Other
Enumeration date
03/16/2016
Last updated
03/16/2016
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