SearchArizona253Z00000X

Poarche' Clark

NPI 1578162889 · on the registry since 2020 · sole proprietor

Practice

Address
1738 E Cortez Dr
Casa Grande, AZ 85122
Phone
(520) 450-1461

Registry record

Primary taxonomy
253Z00000X
253Z00000X
Licence states on file
AZ
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2020-10-19

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 Arizona