Individual
CHARNELL CLARKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5022 ILLINOIS AVE NW, WASHINGTON, DC 20011-3930
(202) 704-1632
Mailing address
5022 ILLINOIS AVE NW, WASHINGTON, DC 20011-3930
(202) 704-1632
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
RN1026236
DC
Other
Enumeration date
07/13/2020
Last updated
07/13/2020
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