Individual
JULIE D LARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1070 HECKLE BLVD, ROCK HILL, SC 29732-2853
(803) 542-0118
Mailing address
1070 HECKLE BLVD, ROCK HILL, SC 29732-2853
(803) 542-0118
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
78937
SC
Other
Enumeration date
11/22/2019
Last updated
11/22/2019
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