Individual
AMANDA RUTH CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
64 BUTCH HOLLOW, WEST HAMLIN, WV 25571
(304) 733-1094
Mailing address
64 BUTCH HOLLOW, WEST HAMLIN, WV 25571
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
09/01/2022
Last updated
09/01/2022
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