Theresa Clark

NPI #1104079839 in Pineville, Louisiana

Provider Information

NPI Number
1104079839
Entity Type
Individual
Name
Theresa Clark
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Registered Nurse - Medical-Surgical
Enumeration Date
Oct 26, 2008
Last Updated
Oct 26, 2008

Practice Location

Address
2495 SHREVEPORT HWY
ZIP Code
71360-4044
Phone
(318) 473-0010

Specialties & Taxonomy Codes

Specialty
Registered Nurse - Medical-SurgicalMedical-Surgical

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