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Individual

ALEICA CLEMM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
415 PARKWOOD RD, PITTSBURGH, PA 15210-2517
(412) 626-0138
(412) 774-0369
Mailing address
415 PARKWOOD RD, PITTSBURGH, PA 15210-2517
(412) 626-0138
(412) 774-0369

Taxonomy

Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
41933601
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
832733014
PA
Enumeration date
02/02/2019
Last updated
06/10/2019
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