Most Relevant Information
Provider Data
| NPI Number: | 1003230681 |
| Provider Name: | PAMELA CLARK |
| Entity Type: | Individual |
| Taxonomy Code: | 163WS0200X |
| Specialty: | Registered Nurse |
| License Number: | R-18457 |
Most Important Dates
| Enumeration Date: | 02/18/2014 |
| Last Updated: | 02/18/2014 |
Provider Practice Location
6400 UPTOWN BLVD NE
STE 360W
ALBUQUERQUE
NM
871104204
Practice Location Phone/Fax
| Phone: | 5058559805 |
| Fax: | 5058489468 |
Provider Mailing Location
6400 UPTOWN BLVD NE
STE 360W
ALBUQUERQUE
NM
871104204
Provider Mailing Phone/Fax
| Phone: | 5058559805 |
| Fax: | 5058489468 |