Individual
MS. TANYA ELVIRA CLARKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1770 SKYPLACE BLVD, SAN ANTONIO, TX 78216-2869
(210) 566-0012
Mailing address
1770 SKYPLACE BLVD, SAN ANTONIO, TX 78216-2869
(210) 566-0012
Taxonomy
Speciality
Code
Description
License number
State
332BN1400X
Nursing Facility Supplies (DME)
Primary
—
—
Other
Enumeration date
04/06/2009
Last updated
04/06/2009
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