Victor Clark

NPI #1649687948 in Herriman, Utah

Provider Information

NPI Number
1649687948
Entity Type
Individual
Name
Victor Clark
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Assisted Living Facility
Enumeration Date
Jul 18, 2014
Last Updated
Jul 18, 2014

Practice Location

Address
6352 W 13100 S
State
Utah
ZIP Code
84096
Phone
(801) 903-1040

Specialties & Taxonomy Codes

Specialty
Assisted Living Facility

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