Individual
MR. EARNEST CLAYTON CHURCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN, CDE
Contact information
Practice address
1409 HAMPDEN BLVD, READING, PA 19604-1827
(610) 375-4532
Mailing address
1409 HAMPDEN BLVD, READING, PA 19604-1827
(610) 375-4532
Taxonomy
Speciality
Code
Description
License number
State
163WD0400X
Diabetes Educator Registered Nurse
Primary
RN348935L
PA
Other
Enumeration date
12/04/2019
Last updated
12/04/2019
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