-- VIRGINIA CLARK --
Individual Provider (NPI-1)
Active
Technician, Other
Provider Information
- NPI Number
1437193968- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 7459 BURLINGTON PIKE, FLORENCE, KY, 410421553
- Phone
- (859) 282-6585
Specialties & Taxonomies
Technician, Other
Primary
All Addresses
MAILING
502 FARRELL DR
COVINGTON, KY, 410113717