ANTOINETTE SOPHIA CLARK

GEORGETOWN, OH
NPI1902089717
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: OH  150730)
Enumeration Date2007-12-14
Last Update Date2014-06-08
Business Address
Mrs. ANTOINETTE SOPHIA CLARK LPN
106 N WATER ST
GEORGETOWN, OH 45121-1332
Phone number: 513-502-4772
Mailing Address
Mrs. ANTOINETTE SOPHIA CLARK LPN
106 N WATER ST
GEORGETOWN, OH 45121-1332
Phone number: 513-502-4772