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Individual

JANIS CLARK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1200 LIGHT ST, HEATHSVILLE, VA 22473-3907
(571) 719-7592
Mailing address
1200 LIGHT ST, HEATHSVILLE, VA 22473-3907

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
HCO-263311
VA

Other

Enumeration date
01/11/2024
Last updated
01/11/2024
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