Individual
KYIA VANCE-CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
275 N OAKHURST DR APT 23, AURORA, IL 60504-6631
(630) 776-4964
Mailing address
PO BOX 381, ELGIN, IL 60121-0381
(630) 776-4964
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
07/12/2025
Last updated
07/12/2025
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