MARK CLARK

MOUNDSVILLE, WV
NPI1609474774
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy3747P1801X Technician, Personal Care Attendant
Enumeration Date2020-10-12
Last Update Date2020-10-12
Business Address
MARK CLARK
87 SWIERKOS DR
MOUNDSVILLE, WV 26041-4209
Phone number: 304-843-0910
Mailing Address
MARK CLARK
501 10TH ST APT 411
MOUNDSVILLE, WV 26041-2243
Phone number: 304-843-0910