Renita Clark, LPN
NPI #1184872442 in Shaker Hts, Ohio
Provider Information
- NPI Number
- 1184872442
- Entity Type
- Individual
- Name
- Renita Clark, LPN
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Licensed Practical Nurse
- Credential
- LPN
- Enumeration Date
- Aug 28, 2008
- Last Updated
- Jun 22, 2011
Practice Location
- Address
- 12940 FAIRHILL RD
- Address 2
- STE 71
- City
- Shaker Hts
- State
- Ohio
- ZIP Code
- 44120-5525
- Phone
- (216) 904-8623
Specialties & Taxonomy Codes
| Specialty |
|---|
| Licensed Practical Nurse |
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