Individual
HERMAN CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4269 EDSON PL NE, WASHINGTON, DC 20019-8024
(202) 415-1205
Mailing address
2417 KENTON PL, TEMPLE HILLS, MD 20748-6812
(202) 415-1205
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
—
—
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
10/03/2020
Last updated
10/30/2020
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