SearchMichigan374J00000X

Waleeda Clark

NPI 1215769021 · on the registry since 2024 · sole proprietor

Practice

Address
5696 Roseworth Ct Se
Grand Rapids, MI 49548
Phone
(616) 803-9573

Registry record

Primary taxonomy
374J00000X
374J00000X
Sex
Female
Record last updated
2024-08-19

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan