Individual
BEYONKA CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4800 NANNIE HELEN BURROUGHS AVE NE APT 507, WASHINGTON, DC 20019-3772
(202) 413-8330
Mailing address
4384 SOUTHERN AVE SE, WASHINGTON, DC 20019-5633
(240) 300-6006
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
09/16/2020
Last updated
09/16/2020
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