Samantha Fennella Clarke, | |
15 Isabella Ave Apt 3r, Bayonne, NJ 07002-4373 | |
(347) 357-3666 | |
Not Available |
Full Name | Samantha Fennella Clarke |
---|---|
Gender | Female |
Speciality | Licensed Practical Nurse |
Location | 15 Isabella Ave Apt 3r, Bayonne, New Jersey |
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1780068494 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
164W00000X | Licensed Practical Nurse | 248896 (New York) | Primary |
Mailing Address | Practice Location Address |
---|---|
Samantha Fennella Clarke, 15 Isabella Ave Apt. 3r, Bayonne, NJ 07002 Ph: (347) 357-3666 | Samantha Fennella Clarke, 15 Isabella Ave Apt 3r, Bayonne, NJ 07002-4373 Ph: (347) 357-3666 |
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