person
Sandra Clark, RT(R)
Radiography Radiologic Technologist in Water Valley, Mississippi
NPI 1578692463

Sandra Clark is a Radiography Radiologic Technologist based in Water Valley, MS and is specialized in Radiography. Sandra Clark practices in Water Valley, MS and has the professional credentials of RT(R). The NPI Number for Sandra Clark is 1578692463 and holds a License No. MRT2279 (Mississippi).

The current practice location address for Sandra Clark is 139 County Road 379, Water Valley, MS and can be reached out via phone at 662-514-5215.

Location: 139 County Road 379, Water Valley, MS, 38965-3607
person
Provider Profile Details
NPI Number
1578692463
Provider Name
Sandra Clark
Credential
RT(R)
Provider Entity Type
Individual
Gender
Female
Address
139 County Road 379, Water Valley, MS, 38965-3607
Phone Number
662-514-5215
Fax Number
Provider Enumeration Date
03/05/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
09851011 05 MS
institution
Provider Business Practice Location Address Details
Address
139 County Road 379
City
State
Zip
38965-3607
Phone Number
662-514-5215
Fax Number
person
Provider Business Mailing Address Details
Address
139 County Road 379
City
State
Zip
38965-3607
Phone Number
662-514-5215
Fax Number
person
Provider's Taxonomy Details 1
Type
Technologists, Technicians & Other Technical Service Providers
Classification
Radiologic Technologist
Speciality
Radiography
Taxonomy
License No.
MRT2279 (Mississippi)
Definition
Definition to come...
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