Individual
CAROL CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
238 CRITTENDEN WAY APT 3, ROCHESTER, NY 14623-2226
(585) 690-4307
Mailing address
238 CRITTENDEN WAY APT 3, ROCHESTER, NY 14623-2226
(585) 690-4307
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
849956
NY
Other
Enumeration date
01/10/2024
Last updated
01/10/2024
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