JACKIE TERESA CLARK

RAVENNA, OH
NPI1841888328
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy376J00000X Homemaker
Enumeration Date2021-01-09
Last Update Date2021-01-09
Business Address
JACKIE TERESA CLARK
2184 ROBERTS JOURNEY
RAVENNA, OH 44266-7810
Phone number: 330-937-5142
Mailing Address
JACKIE TERESA CLARK
2184 ROBERTS JOURNEY
RAVENNA, OH 44266-7810
Phone number: 330-937-5142