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Individual

ERICA CLARK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPN

Contact information

Practice address
4538 EDMONDSON AVE, BALTIMORE, MD 21229-1506
(667) 217-1930
Mailing address
4538 EDMONDSON AVE, BALTIMORE, MD 21229-1506
(667) 217-1930

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LP49337
MD

Other

Enumeration date
03/10/2025
Last updated
03/10/2025
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