La Keisha Ly-Nea Clark, MA Valid NPI
Individual provider · Student in an Organized Health Care Education/Training Program · Toledo, OH
- NPI
- 1558703900
- Type
- Individual (Type 1)
- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Specialty group
- Student, Health Care
- Taxonomy code
- 390200000X
- License number
- 1234 (OH)
- Sex
- Female
- Sole proprietor
- No
- Enumerated
- 2013-07-26
- Last updated
- 2013-07-26
Practice location
512 Woodsdale Ave
Toledo, OH 43609-2960
(419) 381-1419