Individual
BRIDGETT J CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
180 CHESTNUT ST, RAINELLE, WV 25962-1006
(304) 438-1043
Mailing address
180 CHESTNUT ST, RAINELLE, WV 25962-1006
(304) 438-1043
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
08/19/2020
Last updated
01/09/2023
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