Individual
GREGORY CLEVENGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
445 W. MAIN ST. SUITE 203, CLARKSBURG, WV 26301
(304) 842-0200
Mailing address
445 W. MAIN ST. SUITE 203, CLARKSBURG, WV 26301
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
05/17/2024
Last updated
05/17/2024
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