Individual
WILLIAM EUGENE CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2869 HOWEY RD, COLUMBUS, OH 43224-4028
(614) 817-7734
Mailing address
2869 HOWEY RD, COLUMBUS, OH 43224-4028
(614) 817-7734
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
401735570315
OH
Other
Enumeration date
06/11/2019
Last updated
06/11/2019
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