JONATHON CLARK

CHARLESTON, WV
NPI1295559839
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy374U00000X Home Health Aide
Enumeration Date2024-11-11
Last Update Date2024-11-11
Business Address
JONATHON CLARK
3410 5TH AVE
CHARLESTON, WV 25387-1718
Phone number: 304-510-8153
Mailing Address
JONATHON CLARK
3410 5TH AVE
CHARLESTON, WV 25387-1718
Phone number: