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Individual

JOENIYA CHRISTIANNA CLARK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
77 VAN NESS AVE, SAN FRANCISCO, CA 94102-6041
(408) 837-0116
Mailing address
4046 ELIZABETH PARK CT, CONLEY, GA 30288-1832

Taxonomy

Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
CN0014247282
GA

Other

Enumeration date
10/27/2023
Last updated
10/27/2023
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