BETHIA CLARK

WOONSOCKET, RI
NPI1558541334
Former NameBETHIA PHANEUF
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: FL  ARNP3286272)
Enumeration Date2007-11-08
Last Update Date2010-10-13
Business Address
-- BETHIA CLARK
1 CVS DRIVE
WOONSOCKET, RI 02895
Phone number: 612-225-1534
Mailing Address
-- BETHIA CLARK
1 CVS DRIVE
WOONSOCKET, RI 02895
Phone number: 612-225-1534
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