Individual
CORAINE CLARKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
10543 S CRATER RD, SOUTH PRINCE GEORGE, VA 23805-7333
(800) 805-6989
Mailing address
126 S OLD CHURCH ST, PETERSBURG, VA 23803-3556
(804) 319-7970
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
—
—
Other
Enumeration date
03/08/2024
Last updated
03/08/2024
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