Individual
CYNTHIA GREIDELE CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
3549 NORDWAY RD, CLEVELAND HEIGHTS, OH 44118-3605
(216) 570-1879
Mailing address
3549 NORDWAY RD, CLEVELAND HEIGHTS, OH 44118-3605
(216) 570-1879
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
120687
OH
Other
Enumeration date
08/04/2010
Last updated
08/04/2010
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