Tony Milton Clark

NPI #1093539504 in Detroit, Michigan

Provider Information

NPI Number: 1093539504
Entity Type: Individual
Name: Tony Milton Clark
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Home Health Aide
Enumeration Date: Nov 12, 2024
Last Updated: Nov 12, 2024

Practice Location

Address: 2785 E GRAND BLVD UNIT 606
City: Detroit
State: Michigan
ZIP Code: 48211-2003
Phone: (844) 900-2630

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Home Health Aide	374U00000X	Primary

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