Individual
RACHAL DIANE CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, SANE-A
Contact information
Practice address
700 HIGH ST, EMERGENCY DEPARTMENT, WILLIAMSPORT, PA 17701
(570) 321-2000
Mailing address
10793 ROUTE 414, ROARING BRANCH, PA 17765-9007
(570) 418-1204
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN734063
PA
Other
Enumeration date
07/09/2025
Last updated
07/09/2025
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