Individual
STEVEN WESTON-CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
830 SABALU RD, FORT LEAVENWORTH, KS 66027-2315
(139) 758-3989
Mailing address
216 7TH ST, LOT 9, FERRELVIEW, MO 64163-1418
(319) 360-7944
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
2009003462
MO
Other
Enumeration date
12/06/2010
Last updated
12/06/2023
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