MRS. Debra Ann Clark, RN

NPI #1508079328 in Granite City, Illinois

Provider Information

NPI Number
1508079328
Entity Type
Individual
Name
MRS. Debra Ann Clark, RN
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Registered Nurse - Pediatrics
Credential
RN
Enumeration Date
May 8, 2007
Last Updated
Jul 8, 2007

Practice Location

Address
2044 MADISON AVE
Address 2
SUITE G7
ZIP Code
62040-4641
Phone
(618) 451-6685

Specialties & Taxonomy Codes

Specialty
Registered Nurse - PediatricsPediatrics

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Organizations

Provider Name
The Children's Place Home Health Association

Part of The Children's Place Association

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