SANDRA CLARK

WATER VALLEY, MS
NPI1578692463
Other NameJASON CLARK
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy2471C3402X Radiologic Technologist, Radiography
(Licence: MS  MRT2279)
Enumeration Date2007-03-05
Last Update Date2007-07-09
Business Address
-- SANDRA CLARK RT(R)
139 COUNTY ROAD 379
WATER VALLEY, MS 38965-3607
Phone number: 662-514-5215
Mailing Address
-- SANDRA CLARK RT(R)
139 COUNTY ROAD 379
WATER VALLEY, MS 38965-3607
Phone number: 662-514-5215