Theresa Clark

NPI #1588118665 in Ontario, New York

Provider Information

NPI Number
1588118665
Entity Type
Individual
Name
Theresa Clark
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Licensed Practical Nurse
Enumeration Date
Aug 7, 2016
Last Updated
Aug 7, 2016

Practice Location

Address
6541 FURNACE RD
ZIP Code
14519-9701
Phone
(585) 831-1829

Specialties & Taxonomy Codes

Specialty
Licensed Practical Nurse

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