Individual
VALERIE CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
EMT
Contact information
Practice address
6743 BEAR RIDGE RD, LOCKPORT, NY 14094-9288
(716) 803-2678
Mailing address
6743 BEAR RIDGE RD, LOCKPORT, NY 14094-9288
(716) 803-2678
Taxonomy
Speciality
Code
Description
License number
State
146N00000X
Basic Emergency Medical Technician
Primary
447850
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
447850
EMT
NY
Enumeration date
08/01/2017
Last updated
07/21/2022
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