AJALA CLARK

Driver

Active Individual
NPI: 1043018377

Practice Address

2639 ASKERN CT
Grand Prairie, TX 75052

Phone: (682) 408-1318

Specialties

Specialty Code Primary License
Driver 172A00000X Yes -

Frequently Asked Questions

NPI 1043018377 is the National Provider Identifier for AJALA CLARK, a Driver provider located in Grand Prairie, TX. This NPI was enumerated on March 4, 2025.
AJALA CLARK practices at 2639 ASKERN CT, Grand Prairie, TX 75052.

Quick Facts

NPI
1043018377
Type
Individual
Enumerated
Mar 4, 2025
Last Updated
Mar 4, 2025

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