JAQUELL CLARK

Registered Nurse

NPI: 1407732001Individual

Specialties, Licenses & Credentials

Registered NursePrimary

Registered Nurse

Code: 163W00000X

849553(NY)

Contact & Hours

Address: 97 MAPLE LN
MEDFORD, NY 11763
Phone: (631) 882-7216

Location

Practice Location

97 MAPLE LN, MEDFORD, NY

Quick Facts

NPI: 1407732001
Entity Type: Individual
Gender: Male
Medicare: Not confirmed
Specialties: 1
Locations: 1

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