Crystal Clark

NPI #1336975432 in Lorain, Ohio

Provider Information

NPI Number: 1336975432
Entity Type: Individual
Name: Crystal Clark
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Homemaker
Enumeration Date: Sep 13, 2024
Last Updated: Sep 13, 2024

Practice Location

Address: 500 E 33RD ST
City: Lorain
State: Ohio
ZIP Code: 44055-1410
Phone: (440) 315-3177

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Homemaker	376J00000X	Primary

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