NPI 1578692463

Sandra Clark, RTR

Practitioner Radiography Radiologic Technologist Water Valley, MS

Practice location

Address: 139 County Road 379, Water Valley, MS 38965-3607
Phone: (662) 514-5215

Registered specialties

Radiography Radiologic Technologist Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 2471C3402X Licence MRT2279 (MS)

Other Radiologic Technologist providers in Mississippi →

Registry record

NPI: 1578692463
Entity type: Individual
Sex (as registered): Female
NPI issued: 5 Mar 2007
Record last updated: 9 Jul 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.