Individual
RACHEL M CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2501 CENTERVILLE RD, WILMINGTON, DE 19808-1603
(302) 633-4091
Mailing address
2501 CENTERVILLE RD, WILMINGTON, DE 19808-1603
(302) 633-4091
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
L1-0031671
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000000000
—
DE
Enumeration date
09/30/2021
Last updated
09/30/2021
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