Individual
RACHELLE CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
101 2ND ST STE 201, SUTTON, WV 26601-1303
(304) 765-3668
(304) 765-3697
Mailing address
493 MORRIS ROAD, BIRCH RIVER, WV 26610
(904) 315-6339
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
08/15/2022
Last updated
08/15/2022
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