Kisha M Clark
Kisha M Clark is a Contractor in Pearland, Texas. Registered with an NPI since 2021.
- In the registry since
- 2021
Practice location Address checks out
2920 Oak Rd Apt 2106Pearland, TX 77584-8823
Phone: (713) 913-0535
Fax: (281) 710-0930
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Specialties & licences
| Contractor (primary) | Taxonomy 171W00000X |
|---|
Record details
| NPI number | 1669137543 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | November 4, 2021 |
| Last updated in NPPES | November 4, 2021 |
| Certification date | November 4, 2021 |
| Mailing address | 2920 Oak Rd Apt 2106, Pearland, TX 77584-8823 |
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