Individual
QUINTON CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
656 CAROLINA RD S, QUINCY, FL 32351-7770
(904) 470-0196
Mailing address
656 CAROLINA RD S, QUINCY, FL 32351-7770
(904) 470-0196
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
03/07/2019
Last updated
03/07/2019
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