Virginia Clark
Student in an Organized Health Care Education/Training Program in Cincinnati, OH. Individual provider (NPI-1).
NPI number1760628382
StatusActive
Last updated in NPPESJul 9, 2010
Details
- NPI
- 1760628382
- Entity type
- Individual (NPI-1)
- Name
- Virginia Clark
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jan 2, 2009
- Last updated
- Jul 9, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – | Yes |
Practice location
6808 Sampson LnCincinnati, OH 45236-4031
Phone 513-793-2543
Mailing address
6808 Sampson LnCincinnati, OH 45236-4031
Phone 513-793-2543
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