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Individual
RHONDA IDDINS CLARK
Active
Individual
RHONDA IDDINS CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
18691
TN
363LF0000X
Family Nurse Practitioner
240243
AZ
363LF0000X
Family Nurse Practitioner
3009621
KY
363LF0000X
Family Nurse Practitioner
Primary
95006850
CA
Other
Enumeration date
04/01/2014
Last updated
04/27/2021
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