KELLY S CLARK

MIDDLEFIELD, OH
NPI1538479324
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy164X00000X Licensed Vocational Nurse
(Licence: OH  131431)
Enumeration Date2010-10-14
Last Update Date2010-10-14
Business Address
-- KELLY S CLARK LPN
15716 W HIGH ST # 597
MIDDLEFIELD, OH 44062-9201
Phone number: 440-632-8071
Mailing Address
-- KELLY S CLARK LPN
15716 W HIGH ST P O BOX 597
MIDDLEFIELD, OH 44062-9201
Phone number: 440-632-8071