Individual
CRAIG Y CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
149 SPURWINK RD, SCARBOROUGH, ME 04074-8607
(207) 776-2023
Mailing address
149 SPURWINK RD, SCARBOROUGH, ME 04074-8607
(207) 776-2023
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
Primary
RN49820
ME
Other
Enumeration date
12/09/2014
Last updated
12/09/2014
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