Bradley Layton Clark
Technician, Personal Care Attendant in Meadow Bridge, WV. Individual provider (NPI-1).
NPI number1891395331
StatusActive
Last updated in NPPESJan 9, 2023
Details
- NPI
- 1891395331
- Entity type
- Individual (NPI-1)
- Name
- Bradley Layton Clark
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Oct 26, 2020
- Certification date
- Jan 9, 2023
- Last updated
- Jan 9, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3747P1801X | Technician, Personal Care Attendant | – | – | Yes |
Practice location
8620 Sewell Creek RdMeadow Bridge, WV 25976-7674
Phone 304-719-7849
Mailing address
8620 Sewell Creek RdMeadow Bridge, WV 25976-7674
Phone 304-719-7849
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Other Personal Care Attendant providers in Meadow Bridge, WV
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All 34 Personal Care Attendant providers in Meadow Bridge · All 58 providers in Meadow Bridge
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