Individual
TRINDEN CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
105 OAKWOOD DR, CHRISTOPHER, IL 62822-1500
(618) 713-8182
Mailing address
105 OAKWOOD DR, CHRISTOPHER, IL 62822-1500
(618) 713-8182
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
041530606
IL
163WC1600X
Continuing Education/Staff Development Registered Nurse
Primary
041530606
IL
163WS0200X
School Registered Nurse
041530606
IL
Other
Enumeration date
06/03/2025
Last updated
06/03/2025
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