Individual
GLORIA HAMM CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1119 TOWANDA TER, CINCINNATI, OH 45216-2248
(513) 526-9497
Mailing address
1119 TOWANDA TER, CINCINNATI, OH 45216-2248
(513) 526-9497
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
379425881100
OH
Other
Enumeration date
07/09/2017
Last updated
07/09/2017
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