Individual
AMANDA SOTO CLARKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
89 PILGRIM DR, PALM COAST, FL 32164-7067
(386) 585-3404
Mailing address
89 PILGRIM DR, PALM COAST, FL 32164-7067
(386) 585-3404
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
1279272
FL
Other
Enumeration date
05/21/2010
Last updated
05/21/2010
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