Individual
CORNELIUS CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
414 CROCUS PL, BARBERTON, OH 44203-4216
(330) 819-4119
Mailing address
414 CROCUS PL, BARBERTON, OH 44203-4216
(330) 819-4119
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
376J00000X
Homemaker
—
—
Other
Enumeration date
04/11/2024
Last updated
04/11/2024
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