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Search › Georgia › 376K00000X

Melinda Clark

NPI 1386222107 · on the registry since 2021

Practice

Address
1145 Golden Valley Ct
Lawrenceville, GA 30043
Phone
(706) 769-1010
Organisation at this address
Ja'Vine Transportation Llc
Ja'Vine Home Care And Staffing Services
Ja'Vine Home Care And Staffing Services
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
376K00000X
376K00000X
Licence states on file
GA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2021-04-21

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 Georgia