Individual
CRYSTAL SOLOMON CLARKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1727 REDFIN WAY, POINCIANA, FL 34759-4710
(863) 427-5518
Mailing address
1727 REDFIN WAY, POINCIANA, FL 34759-4710
(863) 427-5518
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
L21000241284
FL
Other
Enumeration date
07/05/2021
Last updated
07/05/2021
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