Individual
REBECCA CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
X
Contact information
Practice address
316 CLAYPOOL HOLLOW RD, GLEN DANIEL, WV 25844
(304) 923-6047
Mailing address
PO BOX 11, GLEN DANIEL, WV 25844-0011
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
03/20/2026
Last updated
03/20/2026
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