Individual
ENAYSIA CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7311 N 36TH AVENUE CIR, OMAHA, NE 68112-2512
(402) 915-1930
Mailing address
7311 N 36TH AVENUE CIR, OMAHA, NE 68112-2512
(402) 915-1930
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
02/26/2025
Last updated
02/26/2025
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