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Individual

CINDY L CLARK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
616 S 30TH AVE, YAKIMA, WA 98902-4003
(509) 895-7149
(509) 895-7148
Mailing address
616 S 30TH AVE, YAKIMA, WA 98902-4003
(509) 895-7149
(509) 895-7148

Taxonomy

Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
751442
WA

Other

Enumeration date
03/19/2019
Last updated
03/19/2019
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