Individual
RYAN CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
306 LIBERTY VIEW LN, LYNCHBURG, VA 24502-2291
(434) 592-6400
Mailing address
2581 PARMALEE DR, SEVEN HILLS, OH 44131-4114
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/31/2025
Last updated
03/31/2025
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