Individual
REBECCA LYNN CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
192 SARATOGA AVE FL 1, PAWTUCKET, RI 02861-2534
(401) 545-0936
Mailing address
192 SARATOGA AVE FL 1, PAWTUCKET, RI 02861-2534
(401) 545-0936
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
13519981
RI
Other
Enumeration date
12/11/2023
Last updated
09/09/2024
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