Individual
CECILIA CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2250 HICKORY RD, SUITE 240, PLYMOUTH MEETING, PA 19462-1047
(610) 834-1122
Mailing address
7904 WILTSHIRE CT, PASADENA, MD 21122-6359
(443) 942-2248
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R166793
MD
Other
Enumeration date
08/20/2008
Last updated
08/20/2008
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