Individual
MRS. LARA AMBER CLEMENT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
180 N DATE ST, TRUTH OR CONSEQUENCES, NM 87901-2810
(575) 894-8385
Mailing address
180 N DATE ST, TRUTH OR CONSEQUENCES, NM 87901-2810
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
R65675
NM
Other
Enumeration date
02/28/2017
Last updated
02/28/2017
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