Individual
NASTASIA M CLARKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
101 COCHRAN RD, CUYAHOGA FALLS, OH 44223-2559
(234) 738-8490
Mailing address
101 COCHRAN RD, CUYAHOGA FALLS, OH 44223-2559
(234) 738-8490
Taxonomy
Speciality
Code
Description
License number
State
251X00000X
Supports Brokerage Agency
Primary
601176421022
OH
Other
Enumeration date
10/15/2024
Last updated
10/15/2024
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