Individual
FAITH CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
427 MAIN ST, HELLERTOWN, PA 18055-1721
(610) 814-7300
(484) 241-4490
Mailing address
2178 JOHNSTON AVE, BETHLEHEM, PA 18015-6213
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN263676
PA
Other
Enumeration date
09/23/2015
Last updated
09/23/2015
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