Individual
MRS. NICOLE D CLARK-JEFFERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9077 JEFFERSON DR, NORTHFIELD, OH 44067-1202
(330) 880-9801
Mailing address
9077 JEFFERSON DR, NORTHFIELD, OH 44067-1202
(330) 880-9801
Taxonomy
Speciality
Code
Description
License number
State
347C00000X
Private Vehicle
Primary
—
—
Other
Enumeration date
01/18/2024
Last updated
01/18/2024
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