Individual
MRS. RENEE SPANGLER CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
991 W HUDSON BLVD, GASTONIA, NC 28052-6430
(704) 853-5167
(704) 862-6113
Mailing address
991 W HUDSON BLVD, GASTONIA, NC 28052-6430
(704) 853-5167
(704) 862-6113
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
084041
NC
Other
Enumeration date
09/04/2006
Last updated
07/08/2007
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