Ella Rose Clark
Ella Rose Clark is a Student in an Organized Health Care Education/Training Program in Beavercreek, Ohio. Practices as a sole proprietor. Licensed in Ohio.
- Licensed in
- OH
- In the registry since
- 2025
Practice location Address checks out
3640 Colonel Glenn HwyBeavercreek, OH 45324-2029
Phone: (937) 775-3490
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Specialties & licences
| Student in an Organized Health Care Education/Training Program (primary) | Taxonomy 390200000X (OH) |
|---|
Record details
| NPI number | 1013880335 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | September 24, 2025 |
| Last updated in NPPES | January 14, 2026 |
| Certification date | January 14, 2026 |
| Mailing address | 92 Ceramic Dr, Columbus, OH 43214-3004 |
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