Individual
MRS. SHARON E CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1 BAKER PL, KEYSER, WV 26726-2824
(304) 788-4200
Mailing address
RR 3 BOX 442, RIDGELEY, WV 26753-9526
(304) 738-9096
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
34436
WV
Other
Enumeration date
10/16/2007
Last updated
10/16/2007
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