Individual
SAMANTHA CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
451 E HENRIETTA RD FL 2, ROCHESTER, NY 14620-4629
(585) 753-5927
Mailing address
451 E HENRIETTA RD FL 2, ROCHESTER, NY 14620-4629
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
Primary
870161-01
NY
Other
Enumeration date
03/26/2024
Last updated
03/26/2024
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