LETRICIA LENISE CLARK

WARREN, MI
NPI1255844023
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: MI  4704261814)
Enumeration Date2017-11-14
Last Update Date2017-11-17
Business Address
LETRICIA LENISE CLARK Nurse Practitioner
28800 RYAN RD STE 320
WARREN, MI 48092-4272
Phone number: 586-582-0500
Mailing Address
LETRICIA LENISE CLARK Nurse Practitioner
28800 RYAN RD STE 320
WARREN, MI 48092-4272
Phone number: 586-582-0500
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