Individual
MRS. DOROTHY CLANCY CLARKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
69 ANDREWS WAY, PLYMOUTH, MA 02360-1640
(781) 760-8615
Mailing address
69 ANDREWS WAY, PLYMOUTH, MA 02360-1640
(781) 760-8615
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
164985
MA
163WP0200X
Pediatric Registered Nurse
164985
MA
Other
Enumeration date
08/05/2024
Last updated
08/05/2024
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