Nicole Clark is a student in an organized health care education training program in Southfield, MI. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. Nicole Clark NPI is 1013624998. 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:
20201 ALHAMBRA ST
SOUTHFIELD, MI
ZIP 48076-420
Phone: (248) 592-4108
The enumeration date for this NPI number is 11/1/2022 and was last updated on 11/1/2022.