Individual
TOYA CLEMONS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
20905 GREENFIELD RD STE 200, SOUTHFIELD, MI 48075-5346
(248) 809-3119
Mailing address
8840 SOMERSET LN, YPSILANTI, MI 48198-9559
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
4704232973
MI
Other
Enumeration date
03/29/2017
Last updated
08/03/2022
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