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Individual

ERICA LA'SHAY CLARK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
100 E 216TH ST, EUCLID, OH 44123-1155
(310) 848-9162
Mailing address
19219 SHAKERWOOD RD, WARRENSVILLE HEIGHTS, OH 44122-6605
(216) 703-6924

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary

Other

Enumeration date
04/27/2018
Last updated
04/27/2018
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