Theresa Clark is a licensed practical nurse in Ontario, NY. The provider is a licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. Theresa Clark NPI is 1588118665. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a female.
The provider's business location address is:
6541 FURNACE RD
ONTARIO, NY
ZIP 14519-701
Phone: (585) 831-1829
The enumeration date for this NPI number is 8/7/2016 and was last updated on 8/7/2016.