Individual
MISS CANDACE CLARKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, LM
Contact information
Practice address
HC 33 BOX 122, HARRISON, AR 72601-9609
(870) 420-3514
(870) 420-3514
Mailing address
HC 33 BOX 122, HARRISON, AR 72601-9609
(870) 420-3514
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R40851
AR
175M00000X
Lay Midwife
R78816
AR
Other
Enumeration date
07/24/2008
Last updated
07/24/2008
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