Individual
STELLA I CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7373 VALLEY VIEW LN #2065, DALLAS, TX 75240
(214) 235-9040
Mailing address
7373 VALLEY VIEW LN #2065, DALLAS, TX 75240
(214) 235-9040
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
NA8235064
TX
Other
Enumeration date
08/14/2015
Last updated
08/14/2015
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