Mara M Clarke, NPC

NPI #1174619480 in Moline, Illinois

Provider Information

NPI Number
1174619480
Entity Type
Individual
Name
Mara M Clarke, NPC
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Nurse Practitioner
Credential
NPC
Enumeration Date
Oct 5, 2006
Last Updated
Jul 8, 2007

Practice Location

Address
515 VALLEY VIEW DR
Address 2
SUITE 103
City
Moline
ZIP Code
61265-6175
Phone
(309) 757-1252

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner

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