Individual
MS. DONNA MARIE CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
110 FRANCIS ST, SUITE 6E, BOSTON, MA 02215-5501
(617) 632-7504
(617) 632-7501
Mailing address
110 FRANCIS ST, SUITE 6E, BOSTON, MA 02215-5501
(617) 632-7504
(617) 632-7501
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN138102
MA
Other
Enumeration date
01/07/2010
Last updated
01/07/2010
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