MAYA CLARK

DETROIT, MI
NPI1457498214
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: MI  4704173166)
Enumeration Date2007-01-31
Last Update Date2007-07-08
Business Address
-- MAYA CLARK NP
13400 W OUTER DR
DETROIT, MI 48239-1309
Phone number: 313-592-5216
Mailing Address
-- MAYA CLARK NP
13924 BURNING TREE LN
PLYMOUTH, MI 48170-2699
Phone number: 734-667-5282
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