MRS. Jacqueline Ruth Clark, LPN
NPI #1407008287 in Columbia Station, Ohio
Provider Information
- NPI Number
- 1407008287
- Entity Type
- Individual
- Name
- MRS. Jacqueline Ruth Clark, LPN
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Licensed Practical Nurse
- Credential
- LPN
- Enumeration Date
- Oct 13, 2008
- Last Updated
- Oct 13, 2008
Practice Location
- Address
- 26308 CROCKER RD
- City
- Columbia Station
- State
- Ohio
- ZIP Code
- 44028-9301
- Phone
- (440) 374-6063
Specialties & Taxonomy Codes
| Specialty |
|---|
| Licensed Practical Nurse |
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