Individual
MARY ELLEN CLARK-PIENCIAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
750 WILLOW VALLEY LAKES DRIVE, WILLOW STREET, PA 17584
(717) 464-6200
(717) 464-6205
Mailing address
515 MCCAULEY RD, CONOWINGO, MD 21918-1618
(410) 658-2977
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN226892-L
PA
Other
Enumeration date
08/22/2023
Last updated
08/22/2023
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