Gregg P Clark
NPI #1053852608 in Wilmington, Delaware
Provider Information
- NPI Number
- 1053852608
- Entity Type
- Individual
- Name
- Gregg P Clark
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Contractor - Home Modifications
- Enumeration Date
- Mar 15, 2017
- Last Updated
- Mar 15, 2017
Practice Location
- Address
- 113 SMYRNA AVE
- City
- Wilmington
- State
- Delaware
- ZIP Code
- 19809-1234
- Phone
- (302) 218-1137
Specialties & Taxonomy Codes
| Specialty |
|---|
| Contractor - Home Modifications — Home Modifications |
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