Individual
JAZANEE SHANICE CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3850 COLEMAN RD, EAST LANSING, MI 48823-7418
(313) 806-9008
Mailing address
3850 COLEMAN RD, EAST LANSING, MI 48823-7418
(313) 806-9008
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
04/01/2022
Last updated
04/01/2022
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