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Ms. Maryelizabeth Clark, BS
Student in an Organized Health Care Education/Training Program in Brockton, Massachusetts
NPI 1821321795

Maryelizabeth Clark is a Student in an Organized Health Care Education/Training Program based in South Attleboro, MA. Maryelizabeth Clark practices in Brockton, MA and has the professional credentials of BS. The NPI Number for Maryelizabeth Clark is 1821321795 and holds a License No. (Massachusetts).

The current practice location address for Maryelizabeth Clark is 1115 W Chestnut St, Brockton, MA and can be reached out via phone at 508-559-0473 and via fax at 508-427-5361.

Location: 1115 W Chestnut St, Brockton, MA, 02703-7119
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1821321795
Provider Name
Maryelizabeth Clark
Credential
BS
Provider Entity Type
Individual
Gender
Female
Address
1115 W Chestnut St, Brockton, MA, 02703-7119
Phone Number
508-559-0473
Fax Number
508-427-5361
Provider Enumeration Date
09/10/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1115 W Chestnut St
City
Brockton
State
Massachusetts
Zip
02301-7501
Phone Number
508-559-0473
Fax Number
508-427-5361
person
Provider Business Mailing Address Details
Address
1115 W Chestnut St
City
Brockton
State
Massachusetts
Zip
02301-7501
Phone Number
508-559-0473
Fax Number
508-427-5361
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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