NPI 1992477871

Jayson Clark

Practitioner Driver Lovington, NM

Practice location

Address: 40 W Dickens Rd, Lovington, NM 88260-8715
Phone: (575) 659-4874

Registered specialties

Driver Primary

Other Service Providers Taxonomy 172A00000X Licence 57850 (NM)

Other Driver providers in New Mexico →

Registry record

NPI: 1992477871
Entity type: Individual
Sex (as registered): Male
NPI issued: 29 Sep 2021
Record last updated: 29 Dec 2021

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.