Miss NICOLE TM CLARK -- ATC-L
Individual Provider (NPI-1)
Active
Emergency Medicine, Sports Medicine
Provider Information
- NPI Number
1841609484- Provider Type
- Individual Provider (NPI-1)
- Credentials
- ATC-L
- Status
- Active
Contact & Location
- Address
- 267 OCEAN AVE, PORTLAND, ME, 041035707
- Phone
- (207) 542-8233
Specialties & Taxonomies
Emergency Medicine, Sports Medicine
Primary License: ME #AT511