Individual
EDGARDO CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
24 HIMOOR CIR, RANDOLPH, MA 02368-2429
(508) 243-4379
Mailing address
24 HIMOOR CIR, RANDOLPH, MA 02368-2429
(508) 243-4379
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
S37922805
MA
Other
Enumeration date
08/03/2023
Last updated
08/03/2023
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