Individual
AMY CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
542 TOWNSHIP ROAD 1151, NOVA, OH 44859-9739
(419) 706-2099
Mailing address
542 TOWNSHIP ROAD 1151, NOVA, OH 44859-9739
(419) 706-2099
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
—
—
347C00000X
Private Vehicle
—
—
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
11/13/2024
Last updated
11/13/2024
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