Tiya Shavon Clark
Tiya Shavon Clark is a Home Health Aide in Lorain, Ohio. Registered with an NPI since 2022.
- In the registry since
- 2022
Practice location Address checks out
1816 Cooper Foster Park Rd W Apt 202Lorain, OH 44053-3604
Phone: (440) 538-9993
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Home Health Aide (primary) | Taxonomy 374U00000X |
|---|
Record details
| NPI number | 1700524402 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | May 23, 2022 |
| Last updated in NPPES | November 7, 2022 |
| Certification date | November 7, 2022 |
| Mailing address | 1816 Cooper Foster Park Rd W Apt 202, Lorain, OH 44053-3604 |
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