Individual
SUZANNE CLARK GARCIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1515 W NORTH AVE FL 2, BALTIMORE, MD 21217-1735
(410) 396-0176
Mailing address
1515 W NORTH AVE, BALTIMORE, MD 21217-1735
(410) 396-9410
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
0024166316
VA
363LF0000X
Family Nurse Practitioner
Primary
R164221
MD
Other
Enumeration date
10/11/2006
Last updated
01/27/2022
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