Nicole Clark
Nicole Clark is a Student in an Organized Health Care Education/Training Program in Southfield, Michigan. Practices as a sole proprietor. Registered with an NPI since 2022.
- In the registry since
- 2022
Practice location Address checks out
20201 Alhambra StSouthfield, MI 48076-5420
Phone: (248) 592-4108
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Specialties & licences
| Student in an Organized Health Care Education/Training Program (primary) | Taxonomy 390200000X |
|---|
Record details
| NPI number | 1013624998 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | November 1, 2022 |
| Last updated in NPPES | November 1, 2022 |
| Certification date | November 1, 2022 |
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