Macie M Clark, LPN
NPI #1497238612 in Du Quoin, Illinois
Provider Information
- NPI Number
- 1497238612
- Entity Type
- Individual
- Name
- Macie M Clark, LPN
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Licensed Practical Nurse
- Credential
- LPN
- Enumeration Date
- Sep 13, 2018
- Last Updated
- Sep 13, 2018
Practice Location
Specialties & Taxonomy Codes
| Specialty |
|---|
| Licensed Practical Nurse |
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