Clark, Yvonne Elaine

Clark, Yvonne Elaine is an sole proprietor health care provider with primary practice located at 7130 Sw 85Th Ter , Gainesville FL 32608-5692. She recently has only one registered license in Nursing Service Related Providers / Nurse's Aide, which is considered as her primary health care specialty. Clark, Yvonne Elaine can be contacted via phone (352) 494-5124.

Contact Information

Primary practice address
7130 Sw 85Th Ter Gainesville FL 32608-5692
Phone: (352) 494-5124
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Nurse's Aide 376K00000X Florida

Profile Details

NPI number 1821105636
LBN Legal business name Clark, Yvonne Elaine
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 25th, 2006
Last updated Feb 4th, 2011 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1821105636 NPPES
Florida MEDICAID 1821105636

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