Individual
LILLIAN CLARKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3737 W 4100 S, WEST VALLEY CITY, UT 84120-5543
(801) 963-4200
Mailing address
3725 W 4100 S STE 201, WEST VALLEY CITY, UT 84120-5427
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
08/12/2024
Last updated
08/12/2024
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