SHANA MARIE CLARK

LOUISVILLE, KY
NPI1710407218
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: KY  3011392)
Enumeration Date2017-06-26
Last Update Date2022-07-21
Business Address
SHANA MARIE CLARK
6101 TERRY RD
LOUISVILLE, KY 40258-3027
Phone number: 502-807-5943
Mailing Address
SHANA MARIE CLARK
6101 TERRY RD
LOUISVILLE, KY 40258-3027
Phone number: 502-807-5943
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