Individual
REBECCA NOELLE CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4459 MAXWELL DR, MASON, OH 45040-4621
(513) 649-5951
Mailing address
5317 TRENTON FRANKLIN RD, MIDDLETOWN, OH 45042-1504
(513) 649-5951
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
05/30/2024
Last updated
05/30/2024
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