MRS. Jacquelyn Irene Clark, LPN

NPI #1467503334 in Sardis, Ohio

Provider Information

NPI Number
1467503334
Entity Type
Individual
Name
MRS. Jacquelyn Irene Clark, LPN
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Licensed Practical Nurse
Credential
LPN
Enumeration Date
Jan 16, 2007
Last Updated
Jul 8, 2007

Practice Location

Address
48696 BENWOOD RD
City
Sardis
State
Ohio
ZIP Code
43946-9638
Phone
(740) 483-2249

Specialties & Taxonomy Codes

Specialty
Licensed Practical Nurse

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