Individual
MR. CLINTON E CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1183 CARLYON RD, EAST CLEVELAND, OH 44112-4163
(216) 408-7353
Mailing address
25000 EUCLID AVE STE 305, EUCLID, OH 44117-2646
(216) 408-7353
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
—
—
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
06/02/2023
Last updated
06/02/2023
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