CHARLENE M CLARK

BRENTWOOD, NY
NPI1669804886
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: NY  289760)
Enumeration Date2013-07-31
Last Update Date2013-07-31
Business Address
-- CHARLENE M CLARK Lpn
27 HEYWARD ST
BRENTWOOD, NY 11717-1909
Phone number: 631-273-1439
Mailing Address
-- CHARLENE M CLARK Lpn
27 HEYWARD ST
BRENTWOOD, NY 11717-1909
Phone number: 631-273-1439