Clancy Wallerson
NPI #1407168776 in Springfield Gardens, New York
Provider Information
- NPI Number
- 1407168776
- Entity Type
- Individual
- Name
- Clancy Wallerson
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Registered Nurse - School
- Enumeration Date
- Jul 2, 2010
- Last Updated
- Jul 2, 2010
Practice Location
- Address
- 22011 145TH RD
- State
- New York
- ZIP Code
- 11413-3420
- Phone
- (347) 748-2184
Specialties & Taxonomy Codes
| Specialty |
|---|
| Registered Nurse - School — School |
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