Individual
LORRAINE DANNIA CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2549 GRANITE HILL RD, GRANTS PASS, OR 97526-9749
(541) 499-4970
Mailing address
2549 GRANITE HILL RD, GRANTS PASS, OR 97526-9749
(541) 499-4970
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
10/22/2021
Last updated
10/22/2021
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