MONIQUE R CLARK

SOUTHFIELD, MI
NPI1487198255
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: MI  4704262087)
Enumeration Date2016-12-13
Last Update Date2016-12-13
Business Address
Ms. MONIQUE R CLARK FNP
20755 GREENFIELD RD SUITE 100
SOUTHFIELD, MI 48075-5403
Phone number: 248-557-0507
Mailing Address
Ms. MONIQUE R CLARK FNP
26520 MEADOWOOD CT N
LATHRUP VILLAGE, MI 48076-4650
Phone number: 313-595-2218