Individual
ESCOLASTICA CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2801 KENNEDY ST, PALATKA, FL 32177-4150
(386) 326-3207
Mailing address
16 RAINTREE CIR, PALM COAST, FL 32164-8806
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
9624319
FL
Other
Enumeration date
03/21/2024
Last updated
03/21/2024
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