Individual
MRS. DANIELLE NICOLE CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
440 BROWNS LN, COSHOCTON, OH 43812-2044
(740) 891-9000
Mailing address
723 ENCLAVE VILLAGE PL, UNIT 2, LEWIS CENTER, OH 43035-7540
(216) 570-8378
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
012275
OH
Other
Enumeration date
04/20/2010
Last updated
11/22/2021
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