ELLEN YVETTE CLARK

DAYTON, OH
NPI1851037048
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: OH  LPN075721)
Enumeration Date2022-05-10
Last Update Date2022-05-10
Business Address
ELLEN YVETTE CLARK
600 WAYNE AVE
DAYTON, OH 45410-1122
Phone number: 740-335-3126
Mailing Address
ELLEN YVETTE CLARK
600 WAYNE AVE
DAYTON, OH 45410-1122
Phone number: