Individual
TALICIA CLARKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NURSE AIDE
Contact information
Practice address
105 DEAN LAKE RD, GREER, SC 29650-2987
(860) 420-6857
Mailing address
105 DEAN LAKE RD, GREER, SC 29650-2987
(860) 420-6857
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
10088646
SC
Other
Enumeration date
09/19/2024
Last updated
09/19/2024
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