Individual
MR. CLINTON D. PIERCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
3563 BAINBRIDGE AVE, 4-B, BRONX, NY 10467-1407
(347) 346-3179
Mailing address
3563 BAINBRIDGE AVE, 4-B, BRONX, NY 10467-1407
(347) 346-3179
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
089632
NY
Other
Enumeration date
02/01/2010
Last updated
02/01/2010
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