Kirstan Bernice Clark
NPI #1760081996 in Danville, West Virginia
Provider Information
- NPI Number
- 1760081996
- Entity Type
- Individual
- Name
- Kirstan Bernice Clark
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Technician - Personal Care Attendant
- Enumeration Date
- Oct 19, 2020
- Last Updated
- Oct 19, 2020
Practice Location
- Address
- 163 PRICHARD RD
- City
- Danville
- State
- West Virginia
- ZIP Code
- 25053-6891
- Phone
- (304) 369-2274
Specialties & Taxonomy Codes
| Specialty |
|---|
| Technician - Personal Care Attendant — Personal Care Attendant |
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