Individual
SHEILA MARIE CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
136 ROUTE 73 STE A, VOORHEES, NJ 08043-9598
(877) 388-2778
(856) 424-7529
Mailing address
1 DIAMOND HILL RD, BERKELEY HEIGHTS, NJ 07922-2104
(908) 273-4300
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN689688
PA
367500000X
Certified Registered Nurse Anesthetist
Primary
26NJ15032300
NJ
Other
Enumeration date
10/02/2019
Last updated
08/14/2024
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