SearchWashington311ZA0620X

Cindy Clark

NPI 1992264766 · on the registry since 2019 · sole proprietor

Practice

Address
616 S 30th Ave
Yakima, WA 98902
Phone
(509) 895-7149
Fax
(509) 895-7148
Organisation at this address
Ellen House Afh Llc
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
311ZA0620X
311ZA0620X
Licence states on file
WA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2019-03-19

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 Washington