Henry Larry Clark

NPI #1982253696 in Mesquite, Nevada

Provider Information

NPI Number: 1982253696
Entity Type: Individual
Name: Henry Larry Clark
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Technician
Enumeration Date: Sep 5, 2019
Last Updated: Sep 5, 2019

Practice Location

Address: 550 W PIONEER BLVD STE 204
City: Mesquite
State: Nevada
ZIP Code: 89027-1406
Phone: (702) 345-4065

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chore Provider	372500000X
Adult Companion	372600000X
Technician - Attendant Care Provider — Attendant Care Provider	3747A0650X
Homemaker	376J00000X
Technician	374700000X	Primary

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