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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

LATRICE CLARK

Active Sole Proprietor

LATRICE CLARK is a In Home Supportive Care Agency healthcare provider located in N CHESTERFLD, Virginia. NPI 1043855687 is currently active in the NPPES registry. Verify at CMS.

In Home Supportive Care Agency · N CHESTERFLD, VA

Registration Details

NPI Number
1043855687
Provider Type
Individual
Gender
Female
NPI Issued
Nov 7, 2019 (6.6240391265312 yrs)
Last Updated
Nov 7, 2019
Licenses
HCO-202031 (VA)
HCO-202031 (VA)
HCO-202031 (VA)
HCO-202031 (VA)
HCO-202031 (VA)
Sole Proprietor
Yes

Practice Information

Address
5226 WHETSTONE RD
N CHESTERFLD, VA, 232344324
Browse VA providers · Browse ZIP 23234
Phone
3368669248
Primary Specialty
In Home Supportive Care Agency
253Z00000X
Additional Specialty
Foot & Ankle Surgery
Additional Specialty
Homemaker
Additional Specialty
Nurse's Aide
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.