Individual
MARQUAJAH SHAPRICE CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3300 WINTERHAVEN ST APT 225, LAS VEGAS, NV 89108-5068
(702) 421-1259
Mailing address
4001 PENNWOOD AVE APT 65, LAS VEGAS, NV 89102-7526
(702) 421-1259
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
06/26/2023
Last updated
06/26/2023
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