Individual provider · Type 1 NPI

Raquel Clark

Student in an Organized Health Care Education/Training Program · Dayton, OH

NPI number 1952081986 Active

Practice location

3640 Colonel Glenn Hwy
Dayton, OH 45435-0002

Mailing address

3440 Clover Ridge Ct Apt 305
Fairborn, OH 45324-6631

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1952081986

Raquel Clark's National Provider Identifier is 1952081986, issued on Jul 24, 2023. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Dayton, OH. The record was last updated on Jul 24, 2023.