NPI 1053852608

Gregg P Clark

Practitioner Home Modifications Contractor Wilmington, DE

Practice location

Address: 113 Smyrna Ave, Wilmington, DE 19809-1234
Phone: (302) 218-1137

Registered specialties

Home Modifications Contractor Primary

Other Service Providers Taxonomy 171WH0202X Licence 1990063352 (DE)

Other Contractor providers in Delaware →

Registry record

NPI: 1053852608
Entity type: Individual
Sex (as registered): Male
NPI issued: 15 Mar 2017
Record last updated: 15 Mar 2017

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.