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Vontisha Clark

NPI 1972490258 · on the registry since 2025 · sole proprietor

Practice

Address
3315 2nd Ave E Apt 102
Williston, ND 58801
Phone
(701) 651-6625
Fax
(701) 651-6625

Registry record

Primary taxonomy
172A00000X
172A00000X
Licence states on file
ND
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2025-06-19

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 North Dakota