Individual
PATRICIA ANN CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
2500 NESHAMINY INTERPLEX DR, TREVOSE, PA 19053-6943
(267) 991-7658
(267) 997-7619
Mailing address
2500 NESHAMINY INTERPLEX DR, TREVOSE, PA 19053-6943
(267) 991-7658
(267) 997-7619
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN239726L
PA
Other
Enumeration date
08/14/2012
Last updated
08/14/2012
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