Search › Pennsylvania › 224Z00000X
Capri Clark
NPI 1104585397 · on the registry since 2021 · sole proprietor
Practice
- Address
- 17083 Us-6
Smethport, PA 16749 - Phone
- (814) 887-5601
- Organisation at this address
- Mds Pennsylvania Pc
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 224Z00000X
224Z00000X
- Licence states on file
- PA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2021-12-15
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Pennsylvania