Nicholle Ariana Clark, LPN

NPI #1790294296 in Marion, Illinois

Provider Information

NPI Number
1790294296
Entity Type
Individual
Name
Nicholle Ariana Clark, LPN
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Licensed Practical Nurse
Credential
LPN
Enumeration Date
Sep 27, 2017
Last Updated
Sep 27, 2017

Practice Location

Address
11531 SUNDERLAND RD
City
Marion
ZIP Code
62959-8274
Phone
(618) 964-5139

Specialties & Taxonomy Codes

Specialty
Licensed Practical Nurse

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