Individual
MS. SHAMIRA MALIK CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PCT
Contact information
Practice address
10714 ABERCORN ST APT 17D, APT. 17D, SAVANNAH, GA 31419-1426
(912) 596-4312
Mailing address
PO BOX 60423, SAVANNAH, GA 31420-0423
(912) 596-4312
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
—
—
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
10/31/2012
Last updated
10/31/2012
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