Iesha Clark

NPI #1003511478 in Columbus, Ohio

Provider Information

NPI Number: 1003511478
Entity Type: Individual
Name: Iesha Clark
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Home Health Aide
Enumeration Date: Apr 4, 2023
Last Updated: Apr 4, 2023

Practice Location

Address: 795 S CHAMPION AVE
City: Columbus
State: Ohio
ZIP Code: 43206-1509
Phone: (614) 432-1628

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Home Health Aide	374U00000X	Primary

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