Search › Maryland › 164W00000X
Williette Clark
NPI 1174984934 · on the registry since 2016
Practice
- Address
- 9311 Willow Creek Dr
Apt F
Montgomery Village, MD 20886 - Phone
- (240) 751-5779
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 164W00000X
164W00000X
- Licence states on file
- DC
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2016-03-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Maryland