Shelly A Clark
Shelly A Clark is a Prosthetics Case Management in Brandon, Florida. Practices as a sole proprietor. Registered with an NPI since 2020.
- In the registry since
- 2020
Practice location Address checks out
744 W Brandon BlvdBrandon, FL 33511-4902
Phone: (813) 390-4684
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Specialties & licences
| Prosthetics Case Management (primary) | Taxonomy 1744P3200X |
|---|
Record details
| NPI number | 1942818646 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | July 19, 2020 |
| Last updated in NPPES | July 19, 2020 |
| Certification date | July 19, 2020 |
| Mailing address | 1019 Milano Cir Apt 108, Brandon, FL 33511-7177 |
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