Charmaine Clark

NPI #1306671920 in Moline, Illinois

Provider Information

NPI Number: 1306671920
Entity Type: Individual
Name: Charmaine Clark
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Doula
Enumeration Date: Sep 4, 2024
Last Updated: Sep 4, 2024

Practice Location

Address: 524 15TH ST
City: Moline
State: Illinois
ZIP Code: 61265-2170
Phone: (309) 506-0255

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Doula	374J00000X	Primary

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