Individual
MS. YVONNE ELAINE CLARK III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7130 SW 85TH TER, GAINESVILLE, FL 32608-5692
(352) 494-5124
Mailing address
7130 SW 85TH TERR., GAINESVILLE, FL 32608-5692
(352) 494-5124
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1821105636
—
FL
Enumeration date
08/25/2006
Last updated
02/04/2011
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