Individual
POARCHE' CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1738 E CORTEZ DR, CASA GRANDE, AZ 85122-6318
(520) 450-1461
Mailing address
1738 E CORTEZ DR, CASA GRANDE, AZ 85122-6318
(520) 450-1461
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
AZ
Other
Enumeration date
10/19/2020
Last updated
10/19/2020
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