Tanya Marie Clark J.D.

NPI 1023342862 - Community Health Worker - 172V00000X

NPI Details
NPI 1023342862
Gender Female
Enumeration Date 09/27/2009
Last Updated 09/27/2009
Entity Type Individual
Active Over 7 years ago
Practice Location
SOUTHFIELD MI, 48075-2764, US
Phone (248) 227-2029
Business Location
PO BOX 182
SOUTHFIELD MI, 48037-0182, US
Phone (248) 227-2029
Taxonomy Code 172V00000X
License State
License Number
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According to our database, Mrs. Tanya Marie Clark J.D. NPI is 1023342862, taxonomy code is 172V00000X Tanya Marie Clark J.D. physically located at 17601 Addison St, Southfield MI, 48075-2764. NPI Number Tanya Marie Clark J.D. has the Individual type.

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1023342862 NPI number is provided on an as is basis without warranty of any kind. 1023342862 is maintained by the National Plan & Provider Enumeration System. The contents of Tanya Marie Clark J.D. are for informational purposes only.