Tequila Dionta Clark
Tequila Dionta Clark is a Home Health Agency in Florissant, Missouri. Practices as a sole proprietor. Registered with an NPI since 2023.
- In the registry since
- 2023
Practice location Address checks out
1169 N Highway 67 StFlorissant, MO 63031-4701
Phone: (314) 733-5683
Fax: (314) 733-5684
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Home Health Agency (primary) | Taxonomy 251E00000X |
|---|
Record details
| NPI number | 1427752245 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | March 27, 2023 |
| Last updated in NPPES | March 27, 2023 |
| Certification date | March 27, 2023 |
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