Individual
SANDRA A. LEO-CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
253 WHISTLEBERRY DR, MARSTONS MILLS, MA 02648-1447
(508) 364-0690
Mailing address
253 WHISTLEBERRY DR, MARSTONS MILLS, MA 02648-1447
Taxonomy
Speciality
Code
Description
License number
State
163WP2201X
Ambulatory Care Registered Nurse
Primary
168434
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
163WP2201X
—
MA
Enumeration date
05/22/2018
Last updated
06/16/2018
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