Individual
TALIA DENAY CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
8260 ATLEE RD, MECHANICSVILLE, VA 23116-1844
(804) 764-6000
Mailing address
7 N 8TH ST APT 816, RICHMOND, VA 23219-3323
(757) 642-5039
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110010937
VA
Other
Enumeration date
05/14/2025
Last updated
05/14/2025
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