Individual
JENNIFER CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
59 FORRESTER ST SW APT B, WASHINGTON, DC 20032-2120
(202) 500-9398
Mailing address
59 FORRESTER ST SW APT B, WASHINGTON, DC 20032-2120
(202) 500-9398
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
07/30/2018
Last updated
07/30/2018
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