Individual
CHELSEY CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3024 AMITY GARDEN CT, CHARLOTTE, NC 28205-6626
(615) 578-0613
Mailing address
3024 AMITY GARDEN CT, CHARLOTTE, NC 28205-6626
(615) 578-0613
Taxonomy
Speciality
Code
Description
License number
State
146D00000X
Personal Emergency Response Attendant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0
0
NC
Enumeration date
09/22/2022
Last updated
09/22/2022
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