Individual
BRITTANY LYNN CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
64 STATE ST, GASSAWAY, WV 26624-1132
(304) 364-1063
Mailing address
64 STATE ST, GASSAWAY, WV 26624-1132
(304) 364-1063
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
78975
WV
Other
Enumeration date
11/16/2023
Last updated
11/16/2023
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