EDWARD CLARK

WASHINGTON, DC
NPI1063072429
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy3747P1801X Technician, Personal Care Attendant
(Licence: DC  ACTIVE)
Enumeration Date2019-06-18
Last Update Date2019-06-18
Business Address
EDWARD CLARK
1310 6TH ST NW
WASHINGTON, DC 20001-3495
Phone number: 202-234-7414
Mailing Address
EDWARD CLARK
4202 58TH ADVENUE#127
BLADENSBURG, MD 20710
Phone number: 240-481-5841