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Demetria Clark
NPI 1487209722 · on the registry since 2019 · sole proprietor
Practice
- Address
- 709 Lodge Ave
Toledo, OH 43609 - Phone
- (567) 702-1078
- Organisation at this address
- Pristine Residential Care
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 251E00000X
251E00000X
- Also registered as
- 343900000X
343800000X
247200000X
261QA0600X
320600000X
322D00000X - Sex
- Female
- Record last updated
- 2022-10-02
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