Individual
RICHARD CLEMENT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
3427 MELROSE RD, FAYETTEVILLE, NC 28304-1608
(910) 864-8739
Mailing address
3427 MELROSE RD, FAYETTEVILLE, NC 28304-1608
(910) 864-8739
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
86820
NC
Other
Enumeration date
07/27/2020
Last updated
07/27/2020
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