Individual
DEMETRIUS CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4462 CHARLOTTE RD, OBETZ, OH 43207-5232
(614) 620-2758
Mailing address
4462 CHARLOTTE RD, OBETZ, OH 43207-5232
(614) 620-2758
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
02/21/2023
Last updated
02/21/2023
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