Female

Nichelle Clark

Other Technician in Farmington Hills, MI(View on Map)

Full Name

Nichelle Clark

NPI Number

1306557772

NPI Type

Individual Provider

Gender

Female

Enumeration Date

12/07/2022

Specialties

(Taxonomies)

Code

247200000X
171M00000X

Primary Taxonomy

Yes
No

Contact
Information

Purpose

Mailing
Location

Address

6549 TOWN CENTER DR STE A
32961 MIDDLEBELT RD STE A

City

Clarkston
Farmington Hills

State

MI
MI

Postal Code

48346-4824
48334-1729

Country

US
US

Telephone Number

N/A
(800) 395-3223

Health Information Exchange

Endpoint Type

OTHERS

Endpoint

eastersealsnichelle

Endpoint Description

Unknown

Use

Direct

Content Type

CSV

Affiliation

N

Endpoint Location

955 Campus Dr NWaterford, MI483282754US

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 02/27/2023

Provider Address

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