Individual
MS. KISMET BETTINA CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Contact information
Practice address
109 BELMONT DR, PALATKA, FL 32177-6539
(386) 546-7091
Mailing address
109 BELMONT DR, PALATKA, FL 32177-6539
(386) 546-7091
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
9445587
FL
Other
Enumeration date
09/20/2022
Last updated
09/20/2022
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