Sandra Clark, RT(R)
NPI #1578692463 in Water Valley, Mississippi
Provider Information
- NPI Number
- 1578692463
- Entity Type
- Individual
- Name
- Sandra Clark, RT(R)
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Radiologic Technologist - Radiography
- Credential
- RT(R)
- Enumeration Date
- Mar 5, 2007
- Last Updated
- Jul 9, 2007
Practice Location
- Address
- 139 COUNTY ROAD 379
- City
- Water Valley
- State
- Mississippi
- ZIP Code
- 38965-3607
- Phone
- (662) 514-5215
Specialties & Taxonomy Codes
| Specialty |
|---|
| Radiologic Technologist - Radiography — Radiography |
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