Individual
GENEVIA NICHOLE CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1977 WINDMILL WAY, CINCINNATI, OH 45240-3341
(513) 226-1179
Mailing address
1977 WINDMILL WAY, CINCINNATI, OH 45240-3341
(513) 226-1179
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
402087620718
OH
Other
Enumeration date
02/09/2021
Last updated
02/09/2021
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