Individual
DEBORAH CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
X
Contact information
Practice address
502 AIRPORT RD, BLUEFIELD, WV 24701-7396
(304) 320-3245
Mailing address
502 AIRPORT RD, BLUEFIELD, WV 24701-7396
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
05/28/2025
Last updated
05/28/2025
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