Individual
CHELSEA CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11439 GRESHAM PL, CINCINNATI, OH 45240-2423
(513) 550-5394
Mailing address
11439 GRESHAM PL, CINCINNATI, OH 45240-2423
(513) 550-5394
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
SD789571
OH
347C00000X
Private Vehicle
Primary
SD785971
OH
Other
Enumeration date
01/09/2025
Last updated
01/09/2025
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