Individual
CLARA POLK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1409 WASHINGTON AVE STE 204, SAINT LOUIS, MO 63103-1936
(314) 728-1555
Mailing address
1409 WASHINGTON AVE STE 204, SAINT LOUIS, MO 63103-1936
(314) 728-1555
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
11/20/2019
Last updated
11/20/2019
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