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Individual

SUSAN CLARK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN, CDE

Contact information

Practice address
5601 LOCH RAVEN BLVD, GOOD HEALTH CENTER, O'NEIL BLDG 2ND FL, BALTIMORE, MD 21239-2945
(443) 444-4550
Mailing address
5601 LOCH RAVEN BLVD, GOOD HEALTH CENTER, O'NEIL BLDG 2ND FL, BALTIMORE, MD 21239-2945
(443) 444-4550

Taxonomy

Speciality
Code
Description
License number
State
163WD0400X
Diabetes Educator Registered Nurse
Primary
RN144178
MD

Other

Enumeration date
01/17/2013
Last updated
01/17/2013
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