Individual
KRISTA CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
X
Contact information
Practice address
255 BEAR BRANCH RD, CRUM, WV 25669-8070
(304) 654-0288
Mailing address
255 BEAR BRANCH RD, CRUM, WV 25669-8070
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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