Provider Demographics
NPI:1700145216
Name:CLARKE, CATEENA (MBA, RVT)
Entity Type:Individual
Prefix:
First Name:CATEENA
Middle Name:
Last Name:CLARKE
Suffix:
Gender:F
Credentials:MBA, RVT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:303 BUTLER FARM RD
Mailing Address - Street 2:SUITE 103
Mailing Address - City:HAMPTON
Mailing Address - State:VA
Mailing Address - Zip Code:23666-1568
Mailing Address - Country:US
Mailing Address - Phone:757-722-0223
Mailing Address - Fax:757-224-2058
Practice Address - Street 1:303 BUTLER FARM RD
Practice Address - Street 2:SUITE 103
Practice Address - City:HAMPTON
Practice Address - State:VA
Practice Address - Zip Code:23666-1568
Practice Address - Country:US
Practice Address - Phone:757-722-0223
Practice Address - Fax:757-224-2058
Is Sole Proprietor?:No
Enumeration Date:2012-05-04
Last Update Date:2012-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246XC2903XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist CardiovascularVascular Specialist