MRS. SHANNON CLARK

Contractor

Active Individual
NPI: 1700940855

Practice Address

12729 S OX CART TRL
Vail, AZ 85641

Phone: (512) 214-2841

Specialties

Specialty Code Primary License
Contractor 171W00000X Yes 11816 (AZ)

Frequently Asked Questions

NPI 1700940855 is the National Provider Identifier for MRS. SHANNON CLARK, a Contractor provider located in Vail, AZ. This NPI was enumerated on December 21, 2006.
MRS. SHANNON CLARK practices at 12729 S OX CART TRL, Vail, AZ 85641.

Quick Facts

NPI
1700940855
Type
Individual
Enumerated
Dec 21, 2006
Last Updated
Dec 26, 2024

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