Individual
MRS. ROSE M CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
489 WASHINGTON AVE, CLARKSBURG, WV 26301-2825
(304) 622-2708
(304) 623-9302
Mailing address
489 WASHINGTON AVE, CLARKSBURG, WV 26301-2825
(304) 622-2708
(304) 623-9302
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
24387
WV
Other
Enumeration date
12/11/2007
Last updated
03/30/2010
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