Individual
MRS. CLARA ELLEN FLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Contact information
Practice address
1412 HICKORY RUN DR, COLUMBUS, OH 43204-1517
(937) 360-1088
Mailing address
1412 HICKORY RUN DR, COLUMBUS, OH 43204-1517
(937) 360-1088
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN263391
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2182838
—
OH
Enumeration date
12/13/2006
Last updated
08/12/2008
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