Individual
CAROL MARJORIE CLARKE-MONTAQUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3 GREEN MANOR DR, EAST HARTFORD, CT 06118-3519
(860) 869-4055
Mailing address
3 GREEN MANOR DR, EAST HARTFORD, CT 06118-3519
(860) 869-4055
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
R43870
CT
Other
Enumeration date
07/07/2020
Last updated
07/07/2020
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