Individual
MRS. D'JUANA LASHA CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APN-C
Contact information
Practice address
123 HOW LN, NEW BRUNSWICK, NJ 08901-3653
(732) 745-8600
(732) 828-8929
Mailing address
15 CONGRESS LN, SOUTH RIVER, NJ 08882-2580
(732) 432-7891
(973) 655-4159
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
26NJ00135800
NJ
Other
Enumeration date
08/13/2007
Last updated
01/17/2019
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