Individual
LATASHA CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9944 WINTHROP ST, DETROIT, MI 48227-1622
(248) 595-3788
Mailing address
9944 WINTHROP ST, DETROIT, MI 48227-1622
(248) 595-3788
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
08/05/2020
Last updated
08/05/2020
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