Individual
KARIN CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
417 E TIERRA BUENA LN, PHOENIX, AZ 85022-3034
(602) 502-4397
Mailing address
18405 W CHERYL DR, WADDELL, AZ 85355-4350
(623) 308-5648
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
09/08/2017
Last updated
09/08/2017
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