MRS. THERISA CLARK

Technician - Personal Care Attendant

Active Individual
NPI: 1710485230

Practice Address

421 OAKMONT DR
Poca, WV 25159

Phone: (304) 755-4627

Specialties

Specialty Code Primary License
Technician - Personal Care Attendant 3747P1801X Yes -

Frequently Asked Questions

NPI 1710485230 is the National Provider Identifier for MRS. THERISA CLARK, a Technician - Personal Care Attendant provider located in Poca, WV. This NPI was enumerated on January 30, 2018.
MRS. THERISA CLARK practices at 421 OAKMONT DR, Poca, WV 25159.

Quick Facts

NPI
1710485230
Type
Individual
Enumerated
Jan 30, 2018
Last Updated
Jan 30, 2018

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