TIYA SHAVON CLARK

LORAIN, OH
NPI1700524402
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy374U00000X Home Health Aide
Enumeration Date2022-05-23
Last Update Date2022-11-07
Business Address
TIYA SHAVON CLARK
1816 COOPER FOSTER PARK RD W APT 202
LORAIN, OH 44053-3604
Phone number: 440-538-9993
Mailing Address
TIYA SHAVON CLARK
1816 COOPER FOSTER PARK RD W APT 202
LORAIN, OH 44053-3604
Phone number: 440-538-9993
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