Most Relevant Information
Provider Data
| NPI Number: | 1003328931 |
| Provider Name: | PATRICE L CLARK |
| Entity Type: | Individual |
| Taxonomy Code: | 172V00000X |
| Specialty: | Community Health Worker |
| License Number: |
Most Important Dates
| Enumeration Date: | 11/01/2017 |
| Last Updated: | 11/01/2017 |
Provider Practice Location
380 S PORTAGE PATH
AKRON
OH
443202326
Practice Location Phone/Fax
| Phone: | 3303154109 |
| Fax: |
Provider Mailing Location
380 S PORTAGE PATH
AKRON
OH
443202326
Provider Mailing Phone/Fax
| Phone: | 3303154109 |
| Fax: |