Individual
DASHAWN CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
422 BOSTON PL, TOLEDO, OH 43610-1437
(419) 340-0792
Mailing address
422 BOSTON PL, TOLEDO, OH 43610-1437
(419) 340-0792
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4810330
—
OH
Enumeration date
01/11/2023
Last updated
02/06/2025
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