Individual
ALISE CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9910 N 48TH ST, OMAHA, NE 68152-1548
(402) 799-1799
Mailing address
6318 MILITARY AVE, OMAHA, NE 68104-3360
(402) 618-9634
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
02/20/2025
Last updated
02/20/2025
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