Stacey Deann Clark

NPI #1134686124 in Axtell, Texas

Provider Information

NPI Number
1134686124
Entity Type
Individual
Name
Stacey Deann Clark
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Licensed Vocational Nurse
Enumeration Date
Feb 26, 2019
Last Updated
Feb 26, 2019

Practice Location

Address
1400 BARRON LN
City
Axtell
State
Texas
ZIP Code
76624-1394
Phone
(770) 255-8982

Specialties & Taxonomy Codes

Specialty
Licensed Vocational Nurse

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