Individual
JOSEPH A CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
95 CLOVERLEAF LN, PEEBLES, OH 45660-8013
(740) 656-1803
Mailing address
95 CLOVERLEAF LN, PEEBLES, OH 45660-8013
(740) 656-1803
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
401968410517
OH
Other
Enumeration date
02/05/2021
Last updated
02/05/2021
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