Miss. Ileha M Clark
Miss. Ileha M Clark is a Chore Provider in Macon, Georgia. Practices as a sole proprietor. Registered with an NPI since 2019.
- In the registry since
- 2019
- Specialties on file
- 2
Practice location Address checks out
152 New St Ste 103MMacon, GA 31201-7304
Phone: (478) 508-7124
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| PACE Provider Organization (primary) | Taxonomy 251T00000X |
|---|---|
| Chore Provider | Taxonomy 372500000X |
Record details
| NPI number | 1619531936 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | April 23, 2019 |
| Last updated in NPPES | May 3, 2019 |
Other providers in Macon
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Charisse M King Tharpe
301 Barrington Hall Dr Apt 215, Macon, GA 31220-0712 · (478) 279-9392