Individual
KARRIANN MELISSA CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
226 COUNTY RD # A, EAST FREETOWN, MA 02717-1214
(774) 208-7979
Mailing address
226 COUNTY RD # A, EAST FREETOWN, MA 02717-1214
(774) 208-7979
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LN68353
MA
Other
Enumeration date
04/19/2020
Last updated
04/19/2020
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