Individual
JONI CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3062 SOUTHDALE DR, KETTERING, OH 45409-1116
(937) 286-5420
Mailing address
3062 SOUTHDALE DR, KETTERING, OH 45409-1116
(937) 286-5420
Taxonomy
Speciality
Code
Description
License number
State
227800000X
Certified Respiratory Therapist
Primary
RCP12289
OH
Other
Enumeration date
09/10/2013
Last updated
09/10/2013
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