NPI 1386837912
Samuela Clark, LVN
Practice location
- Address
- 6306 N 7th St, Phoenix, AZ 85014-1549
- Phone
- (602) 279-5801
Registered specialties
Licensed Vocational Nurse
Primary
Registry record
- NPI
- 1386837912
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 27 Aug 2007
- Record last updated
- 27 Aug 2007
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.