Individual
DORTHY CARLENE CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
3100 OAK GROVE RD, POPLAR BLUFF, MO 63901-1573
(573) 776-9290
Mailing address
1356 COUNTY ROAD 3925, MOUNT PLEASANT, TX 75455
(903) 563-8089
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
Primary
608800
TX
Other
Enumeration date
08/14/2024
Last updated
08/14/2024
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