Individual
GLENELL A CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5102 N 166TH PLZ APT B202, OMAHA, NE 68116-3795
(402) 212-6406
Mailing address
5102 N 166TH PLZ APT B202, OMAHA, NE 68116-3795
(402) 212-6406
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
Primary
—
NE
372600000X
Adult Companion
—
NE
376J00000X
Homemaker
—
NE
Other
Enumeration date
12/09/2025
Last updated
12/09/2025
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