Carmen Elena Clark, IBCLC, RLC
Specialist in Teaneck, NJ. Individual provider (NPI-1).
NPI number1154523652
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1154523652
- Entity type
- Individual (NPI-1)
- Name
- Carmen Elena Clark
- Credential
- IBCLC, RLC
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jun 5, 2007
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 174400000X | Specialist | – | – | Yes |
Practice location
324 Edgewood AveTeaneck, NJ 07666-3021
Phone 201-837-7646 · Fax 201-353-7936
Mailing address
324 Edgewood AveTeaneck, NJ 07666-3021
Phone 201-837-7646 · Fax 201-353-7936
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