TIMOTHY CLARK

CROSS LANES, WV
NPI1568175271
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy3747P1801X Technician Personal Care Attendant
Enumeration Date2022-12-28
Last Update Date2022-12-28
Business Address
TIMOTHY CLARK
5512 BIG TYLER RD
CROSS LANES, WV 25313-1304
Phone number: 304-766-9830
Mailing Address
TIMOTHY CLARK
2525 MOUNTAIN VIEW DR
SAINT ALBANS, WV 25177-3305
Phone number: 304-766-9830
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