Individual
MS. QUANTARA L CLARKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DIRECTOR
Contact information
Practice address
215 S JEFFERSON STREET SUITE H, QUINCY, FL 32351-1230
(850) 321-3869
(850) 270-1157
Mailing address
PO BOX 1230, QUINCY, FL 32353-1230
(850) 321-3869
(850) 270-1157
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
688446604
FL
172V00000X
Community Health Worker
688446679
FL
172V00000X
Community Health Worker
Primary
688446696
FL
172V00000X
Community Health Worker
688446698
—
172V00000X
Community Health Worker
6889980300
FL
172V00000X
Community Health Worker
689980301
FL
172V00000X
Community Health Worker
689980302
FL
Other
Enumeration date
08/20/2009
Last updated
03/18/2011
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