Laquiesha Taniesha Clark
NPI #1003482563 in Culver City, California
Provider Information
- NPI Number
- 1003482563
- Entity Type
- Individual
- Name
- Laquiesha Taniesha Clark
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Case Manager/Care Coordinator
- Enumeration Date
- Jun 3, 2021
- Last Updated
- Jun 3, 2021
Practice Location
- Address
- 6666 GREEN VALLEY CIR
- City
- Culver City
- State
- California
- ZIP Code
- 90230-7068
- Phone
- (310) 846-5270
Specialties & Taxonomy Codes
| Specialty |
|---|
| Case Manager/Care Coordinator |
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