Individual
BETTYLOU CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
18176 CHRISTANNA HWY, LAWRENCEVILLE, VA 23868-2623
(607) 267-0980
Mailing address
18176 CHRISTANNA HWY, LAWRENCEVILLE, VA 23868-2623
(607) 267-0980
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
05/12/2025
Last updated
05/12/2025
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