Individual
GARY LEE CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
71312 WOODS AVE, MARTINS FERRY, OH 43935-3104
(740) 633-3407
Mailing address
71312 WOODS AVE, MARTINS FERRY, OH 43935-3104
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
09/20/2020
Last updated
09/20/2020
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