RICHARD CLARK

MOUNDSVILLE, WV
NPI1144026097
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy3747P1801X Technician, Personal Care Attendant
Enumeration Date2025-02-21
Last Update Date2025-02-21
Business Address
RICHARD CLARK
6401 MIDDLE GRAVE CREEK RD
MOUNDSVILLE, WV 26041-3481
Phone number: 740-921-8039
Mailing Address
RICHARD CLARK
6401 MIDDLE GRAVE CREEK RD
MOUNDSVILLE, WV 26041-3481
Phone number: 740-921-8039