Individual
BETHANY CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2449 TENNESSEE DR, XENIA, OH 45385-4766
(989) 984-7057
Mailing address
2449 TENNESSEE DR, XENIA, OH 45385-4766
(989) 984-7057
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
05/13/2026
Last updated
05/13/2026
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