SearchOhio164W00000X

Jaime Clark

NPI 1396080388 · on the registry since 2012 · sole proprietor

Practice

Address
2812 Micham Rd
Toledo, OH 43615
Phone
(567) 322-4141

Registry record

Primary taxonomy
164W00000X
164W00000X
Licence states on file
OH
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2012-12-03

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Ohio