Individual
CURTIS ALLEN CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1124 MILLSTONE RD, BEAVER, OH 45613-9493
(740) 708-2950
Mailing address
1124 MILLSTONE RD, BEAVER, OH 45613-9493
(740) 708-2950
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3094842
—
OH
Enumeration date
01/25/2021
Last updated
01/25/2021
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