Individual
MS. ROCHELLE CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3101 INLET BAY AVE, NORTH LAS VEGAS, NV 89031-0591
(702) 412-4458
Mailing address
3101 INLET BAY AVE, NORTH LAS VEGAS, NV 89031-0591
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
12/04/2012
Last updated
12/04/2012
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