Search › New Mexico › 101YA0400X
Joella Clark, LSAA
NPI 1063155729 · on the registry since 2022
Practice
- Address
- 72 Gail Harris St
Roswell, NM 88203 - Phone
- (575) 347-3400
- Fax
- (575) 347-3435
- Organisation at this address
- State Of New Mexico
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 21
Registry record
- Primary taxonomy
- 101YA0400X
101YA0400X
- Licence states on file
- NM
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2022-04-19
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New Mexico