Sandra Marie Clark R.N.

NPI 1487890489 - Registered Nurse - 163W00000X

NPI Details
NPI 1487890489
Gender Female
Enumeration Date 12/21/2008
Last Updated 12/21/2008
Entity Type Individual
Active Over 7 years ago
Practice Location
312 E 207TH ST
BRONX NY, 10467-4202, US
Phone (718) 652-3557
Fax
Business Location
312 E 207TH ST
BRONX NY, 10467-4202, US
Phone (718) 652-3557
Fax
Toxanomy
Taxonomy Code 163W00000X
License State New York
License Number 606178
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According to our database, Sandra Marie Clark R.N. NPI is 1487890489, taxonomy code is 163W00000X and license number is 606178, license state is located at New York. Sandra Marie Clark R.N. physically located at 312 E 207th St, Bronx NY, 10467-4202. NPI Number Sandra Marie Clark R.N. has the Individual type.

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1487890489 NPI number is provided on an as is basis without warranty of any kind. 1487890489 is maintained by the National Plan & Provider Enumeration System. The contents of Sandra Marie Clark R.N. are for informational purposes only.