Individual
PAIGE CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
131 FAIRVIEW AVE, FREDERICK, MD 21701-4017
(240) 215-5074
Mailing address
131 FAIRVIEW AVE, FREDERICK, MD 21701-4017
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
10/16/2015
Last updated
10/16/2015
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