Individual
AMANDA CLAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
23620 CLOVERLAWN ST, OAK PARK, MI 48237-2462
(248) 416-3841
Mailing address
23620 CLOVERLAWN ST, OAK PARK, MI 48237-2462
(248) 416-3841
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
810733202
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0085270
—
MI
Enumeration date
02/15/2016
Last updated
02/15/2016
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