Individual
EVELYN FRANCES CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.T.
Contact information
Practice address
217 E PALACE AVE, SANTA FE, NM 87501-2025
(505) 984-8830
Mailing address
12 CALLE LAGARTIJAS, PLACITAS, NM 87043-9504
(505) 670-5683
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
4354
NM
Other
Enumeration date
03/07/2008
Last updated
03/13/2008
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