Individual
JENNIFER CLARKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1100 CENTRAL AVE SE, ALBUQUERQUE, NM 87106-4930
(505) 841-1234
Mailing address
1720 LOUISIANA BLVD NE STE 401, ALBUQUERQUE, NM 87110-7020
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MD2017-0999
NM
Other
Enumeration date
04/25/2012
Last updated
01/09/2018
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