Individual
DR. ASHLEA RAYLENE CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
6569 N EVANGELINE ST, DEARBORN HEIGHTS, MI 48127-2030
(501) 687-4957
Mailing address
10415 SCARLET OAK DR, YPSILANTI, MI 48198-1329
(313) 753-0994
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2301010498
MI
Other
Enumeration date
10/19/2016
Last updated
08/19/2020
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