Individual
WEBSTEA CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8901 W LINCOLN AVE FL 2, WEST ALLIS, WI 53227-2409
(414) 328-7700
Mailing address
1469 S 71ST ST, WEST ALLIS, WI 53214-4827
(262) 527-7972
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
—
—
Other
Enumeration date
09/07/2024
Last updated
09/07/2024
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