Tanisha Clark

NPI #1891531877 in Miramar, Florida

Provider Information

NPI Number: 1891531877
Entity Type: Individual
Name: Tanisha Clark
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Homemaker
Enumeration Date: Jul 8, 2024
Last Updated: Jul 8, 2024

Practice Location

Address: 7250 GRANDVIEW BLVD
City: Miramar
State: Florida
ZIP Code: 33023-6549
Phone: (305) 922-4495

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Homemaker	376J00000X	Primary

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