Individual
ANITA JANE CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
87 METZ LN, MOUNT CLARE, WV 26408-7001
(304) 838-2818
Mailing address
87 METZ LN, MOUNT CLARE, WV 26408-7001
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
05/19/2025
Last updated
05/19/2025
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