MRS. Therisa Clark
NPI #1710485230 in Poca, West Virginia
Provider Information
- NPI Number
- 1710485230
- Entity Type
- Individual
- Name
- MRS. Therisa Clark
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Technician - Personal Care Attendant
- Enumeration Date
- Jan 30, 2018
- Last Updated
- Jan 30, 2018
Practice Location
- Address
- 421 OAKMONT DR
- City
- Poca
- State
- West Virginia
- ZIP Code
- 25159
- Phone
- (304) 755-4627
Specialties & Taxonomy Codes
| Specialty |
|---|
| Technician - Personal Care Attendant — Personal Care Attendant |
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