MIRANDA CLARK

TYLER, TX
NPI1174080873
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy164X00000X Licensed Vocational Nurse
(Licence: TX  318488)
Enumeration Date2019-02-28
Last Update Date2019-02-28
Business Address
MIRANDA CLARK
9846 HWY 31 E
TYLER, TX 75705-2329
Phone number: 903-525-8001
Mailing Address
MIRANDA CLARK
9846 HWY 31 E
TYLER, TX 75705-2329
Phone number: 903-525-8001