SearchDelawareHome Modifications Contractor

Gregg Clark

NPI 1053852608 · on the registry since 2017 · sole proprietor

Practice

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

Registry record

Primary taxonomy
Home Modifications Contractor
171WH0202X
Licence states on file
DE
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2017-03-15

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 Delaware