Individual
DIANALEE ELLIOTT-CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7411 RIDING TRAIL RD, CHARLOTTE, NC 28212-4607
(880) 345-9415
Mailing address
7411 RIDING TRAIL RD, CHARLOTTE, NC 28212-4607
(880) 345-9415
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
11/12/2019
Last updated
11/12/2019
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