Individual
TRUDI J CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
540 5TH AVE, HUNTINGTON, WV 25701-1908
(304) 525-5151
Mailing address
915 21ST ST, HUNTINGTON, WV 25703-1811
(304) 563-1802
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
05/10/2023
Last updated
05/10/2023
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