Alice Clark

NPI 1063589299 - Respite Care - 385HR2055X

NPI Details
NPI 1063589299
Gender Female
Enumeration Date 11/30/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
10720 E. MARIGOLD LANE
FLORENCE AZ, 85232, US
Phone (520) 723-8228
Fax
Business Location
10720 E. MARIGOLD LANE
FLORENCE AZ, 85232, US
Phone (520) 723-8228
Fax
Toxanomy
Taxonomy Code 385HR2055X
License State Arizona
License Number 10784
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According to our database, Alice Clark NPI is 1063589299, taxonomy code is 385HR2055X and license number is 10784, license state is located at Arizona. Alice Clark physically located at 10720 E. Marigold Lane, Florence AZ, 85232. NPI Number Alice Clark has the Individual type.

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1063589299 NPI number is provided on an as is basis without warranty of any kind. 1063589299 is maintained by the National Plan & Provider Enumeration System. The contents of Alice Clark are for informational purposes only.