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Williette Clark
Licensed Practical Nurse in Montgomery Village, Maryland
NPI 1174984934

Williette Clark is a Licensed Practical Nurse based in Montgomery Village, MD. Williette Clark practices in Montgomery Village, MD. The NPI Number for Williette Clark is 1174984934 and holds a License No. 1003182 (Maryland).

The current practice location address for Williette Clark is 9311 Willow Creek Dr, Montgomery Village, MD and can be reached out via phone at 240-751-5779.

Location: 9311 Willow Creek Dr, Montgomery Village, MD, 20886-0422
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1174984934
Provider Name
Williette Clark
Credential
Provider Entity Type
Individual
Gender
Female
Address
9311 Willow Creek Dr, Montgomery Village, MD, 20886-0422
Phone Number
240-751-5779
Fax Number
Provider Enumeration Date
03/08/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
9311 Willow Creek Dr
City
Montgomery Village
State
Maryland
Zip
20886-0422
Phone Number
240-751-5779
Fax Number
person
Provider Business Mailing Address Details
Address
9311 Willow Creek Dr
City
Montgomery Village
State
Maryland
Zip
20886-0422
Phone Number
240-751-5779
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
164W00000X
License No.
1003182 (District of Columbia)
Definition
An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
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