Individual
ASHLEY CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
749 STATE ROUTE 28 STE C, MILFORD, OH 45150-5046
(513) 214-2094
Mailing address
749 STATE ROUTE 28 STE C, MILFORD, OH 45150-5046
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
185297
OH
Other
Enumeration date
07/23/2024
Last updated
07/23/2024
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