DIANE CLARK

LEWISTON, ID
NPI1952763377
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy163W00000X Registered Nurse
(Licence: ID  N-29174)
Enumeration Date2016-03-24
Last Update Date2016-03-24
Business Address
-- DIANE CLARK RN, BSN
1118 F ST
LEWISTON, ID 83501-1930
Phone number: 208-799-4440
Mailing Address
-- DIANE CLARK RN, BSN
1118 F ST
LEWISTON, ID 83501-1930
Phone number: 208-799-4440
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