Individual
TONY MILTON CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2785 E GRAND BLVD UNIT 606, DETROIT, MI 48211-2003
(844) 900-2630
Mailing address
2785 E GRAND BLVD UNIT 606, DETROIT, MI 48211-2003
(844) 900-2630
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
11/12/2024
Last updated
11/12/2024
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