Clark, Rebecca

Clark, Rebecca is an sole proprietor health care provider with primary practice located at 2703 S 37Th Dr , Yuma AZ 85364-5983. She recently has only one registered license in Respite Care Facility / Respite Care, Mental Illness, Child, which is considered as her primary health care specialty. Clark, Rebecca can be contacted via phone (928) 726-1636.

Contact Information

Primary practice address
2703 S 37Th Dr Yuma AZ 85364-5983
Phone: (928) 726-1636
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respite Care Facility / Respite Care, Mental Illness, Child 385HR2055X 11351

Profile Details

NPI number 1861557563
LBN Legal business name Clark, Rebecca
Credentials FOSTER PARENT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 25th, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers