Individual
NICOLE M CLAYTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
59 BANGOR ST, HOULTON, ME 04730-1740
(207) 528-2285
Mailing address
PO BOX 1232, HOULTON, ME 04730-1232
(207) 528-2285
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
P010324
ME
Other
Enumeration date
04/08/2009
Last updated
04/08/2009
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