Individual
GQUA S CLARKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
925 GARDEN ST NW, WARREN, OH 44485-2461
(234) 228-2445
Mailing address
925 GARDEN ST NW, WARREN, OH 44485-2461
(234) 228-2445
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
01/29/2020
Last updated
01/29/2020
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