Individual
LASHAWNDA CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
267 GOING ST, PONTIAC, MI 48342-3234
(248) 935-2022
Mailing address
267 GOING ST, PONTIAC, MI 48342-3234
(248) 935-2022
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
—
—
376J00000X
Homemaker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1
N/A
MI
Enumeration date
01/20/2022
Last updated
04/12/2024
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