Individual
ANNE CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2287 RAYS BRANCH RD, CHARLESTON, WV 25314-9176
(423) 646-1420
Mailing address
2287 RAYS BRANCH RD, CHARLESTON, WV 25314-9176
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
05/19/2025
Last updated
05/19/2025
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