MRS. TANYA MARIE CLARK J.D. NPI 1023342862

NPI Information

MRS. Tanya Marie Clark, J.D. is a contractor in Southfield, MI. The provider is a person who contracts to supply certain materials or do certain work for a stipulated sum; esp., one whose business is contracting work in any of the building trades. For purposes of the taxonomy, a person who contracts to complete home repairs or modifications to accommodate a health condition (e.g. wheelchair ramp, kitchen counter lowering). MRS. Tanya Marie Clark, J.D. NPI is 1023342862. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

17601 ADDISON ST
SOUTHFIELD, MI
ZIP 48075-764
Phone: (248) 227-2029

The enumeration date for this NPI number is 9/27/2009 and was last updated on 9/27/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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