Search › Pennsylvania › 252Y00000X
Josette Clark
NPI 1871354092 · on the registry since 2024 · sole proprietor
Practice
- Address
- 612 S Elmwood Ave
Glenolden, PA 19036 - Phone
- (215) 687-5868
Registry record
- Primary taxonomy
- 252Y00000X
252Y00000X
- Licence states on file
- PA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-01-16
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