Individual
WALEEDA NEFERTITI CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5696 ROSEWORTH CT SE, GRAND RAPIDS, MI 49548-5809
(616) 803-9573
Mailing address
5696 ROSEWORTH CT SE, GRAND RAPIDS, MI 49548-5809
(616) 803-9573
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
—
—
Other
Enumeration date
08/19/2024
Last updated
08/19/2024
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