Individual
ANGELIQUE CLARAYLA CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
20982 STATE ROUTE 772, WAVERLY, OH 45690-8933
(740) 703-9162
Mailing address
730 MINGO RD, CHILLICOTHE, OH 45601-9184
(740) 466-8914
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
04/16/2026
Last updated
04/16/2026
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