NPI 1003678723
Shyliea Rain Clark
Practice location
- Address
- 2853 North Ave, Grand Junction, CO 81501-5040
- Phone
- (970) 256-9424
- Mailing address
- 2835 North Ave, Grand Junction, CO 81501-4918
Registered specialties
Student in an Organized Health Care Education/Training Program
Primary
Registry record
- NPI
- 1003678723
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 29 Jan 2024
- Record last updated
- 29 Jan 2024
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.