WILLIETTE CLARK

MONTGOMERY VILLAGE, MD
NPI1174984934
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: DC  1003182)
Enumeration Date2016-03-08
Last Update Date2016-03-08
Business Address
-- WILLIETTE CLARK
9311 WILLOW CREEK DR APT F
MONTGOMERY VILLAGE, MD 20886-0422
Phone number: 240-751-5779
Mailing Address
-- WILLIETTE CLARK
9311 WILLOW CREEK DR APT F
MONTGOMERY VILLAGE, MD 20886-0422
Phone number: