Dominque Clark

NPI #1093519886 in Englewood, Ohio

Provider Information

NPI Number: 1093519886
Entity Type: Individual
Name: Dominque Clark
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: In Home Supportive Care
Enumeration Date: Apr 2, 2025
Last Updated: Apr 2, 2025

Practice Location

Address: 117 WICKHAM FARM DR
City: Englewood
State: Ohio
ZIP Code: 45322-2948
Phone: (214) 264-0962

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
In Home Supportive Care	253Z00000X	Primary

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