Brenda Clark

NPI #1265083497 in Columbus, Georgia

Provider Information

NPI Number
1265083497
Entity Type
Individual
Name
Brenda Clark
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Technician - Attendant Care Provider
Enumeration Date
Sep 29, 2019
Last Updated
Sep 29, 2019

Practice Location

Address
5824 CATALINA DR
State
Georgia
ZIP Code
31909-4660
Phone
(706) 596-1845

Specialties & Taxonomy Codes

Specialty
Technician - Attendant Care ProviderAttendant Care Provider

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