Individual
HANNAH CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
9175 GUILFORD RD STE 305, COLUMBIA, MD 21046-2529
(703) 581-7773
Mailing address
9175 GUILFORD RD STE 305, COLUMBIA, MD 21046-2529
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
119748
WV
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
119748
WV
Other
Enumeration date
09/18/2024
Last updated
09/18/2024
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