Individual
MRS. JACQUELINE MARIE CLARK RUHF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
IDMT
Contact information
Practice address
4881 SUGAR MAPLE DR, WPAFB, OH 45433-5546
(937) 257-9519
Mailing address
805 PICKET PL, DAYTON, OH 45433-1325
(937) 271-4711
Taxonomy
Speciality
Code
Description
License number
State
1710I1003X
Independent Duty Medical Technicians
Primary
—
—
Other
Enumeration date
03/02/2010
Last updated
03/02/2010
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