| Clarissa Victoria Trader, | |
|
1532 Ocean Hwy, Pocomoke City, MD 21851-3023 | |
| (443) 437-7128 | |
| (443) 437-7131 |
| Full Name | Clarissa Victoria Trader |
|---|---|
| Gender | Female |
| Speciality | Licensed Practical Nurse |
| Location | 1532 Ocean Hwy, Pocomoke City, Maryland |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669054615 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 164W00000X | Licensed Practical Nurse | 0002097361 (Virginia) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Clarissa Victoria Trader, 3564 Navigator Dr, Greenbackville, VA 23356-2508 Ph: (757) 894-8941 | Clarissa Victoria Trader, 1532 Ocean Hwy, Pocomoke City, MD 21851-3023 Ph: (443) 437-7128 |
Craig Simon, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 1532 Ocean Hwy Ste 102, Pocomoke City, MD 21851 Phone: 443-437-7128 | |
Latasha Jones, Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 1532 Ocean Hwy Ste 102, Pocomoke City, MD 21851 Phone: 410-881-6151 |