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Lashunda Denise Clark

Home Health in Goodrich, TX. Individual provider (NPI-1).

NPI number1942895800
StatusActive
Last updated in NPPESMar 3, 2021

Details

NPI
1942895800
Entity type
Individual (NPI-1)
Name
Lashunda Denise Clark
Sex
Female
Sole proprietor
Yes
Enumeration date
Mar 3, 2021
Certification date
Mar 3, 2021
Last updated
Mar 3, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
251E00000X Home Health––Yes

Practice location

260 Harrell Ln
Goodrich, TX 77335-8385

Phone 346-339-5024

Mailing address

260 Harrell Ln
Goodrich, TX 77335-8385

Phone 346-339-5024

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