NPI 1245637867

Shatona Clark

Practitioner Community Health Worker Livonia, MI

Practice location

Address: 34050 Industrial Rd, Livonia, MI 48150-1306
Phone: (734) 293-0034
Mailing address: 11344 Goddard CT, Taylor, MI 48180-6218

Registered specialties

Community Health Worker Primary

Other Service Providers Taxonomy 172V00000X

Other Community Health Worker providers in Michigan →

Registry record

NPI: 1245637867
Entity type: Individual
Sex (as registered): Female
NPI issued: 25 Nov 2014
Record last updated: 25 Nov 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.