Individual
RONDA CLARKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
208 W 141ST ST, 2D, NEW YORK, NY 10030-1761
(347) 307-1521
Mailing address
208 W 141ST ST, 2D, NEW YORK, NY 10030-1761
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
254072
NY
Other
Enumeration date
10/22/2015
Last updated
10/22/2015
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