ERNESTINE CLARK

GALLUP, NM
NPI1114287216
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy163W00000X Registered Nurse
(Licence: NM  R47430)
Enumeration Date2012-05-22
Last Update Date2012-05-22
Business Address
-- ERNESTINE CLARK RN
516 E NIZHONI BLVD
GALLUP, NM 87301-5748
Phone number: 505-722-1000
Mailing Address
-- ERNESTINE CLARK RN
PO BOX 1337
GALLUP, NM 87305-1337
Phone number: 505-722-1000