Lydia Clark

NPI #1588128466 in Fremont, Indiana

Provider Information

NPI Number
1588128466
Entity Type
Individual
Name
Lydia Clark
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Home Health
Enumeration Date
Jan 25, 2019
Last Updated
Jan 25, 2019

Practice Location

Address
3610 E 300 N
State
Indiana
ZIP Code
46737-9785
Phone
(419) 348-3129

Specialties & Taxonomy Codes

Specialty
Home Health

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