Individual provider · Type 1 NPI

Tiya Shavon Clark

Home Health Aide · Lorain, OH

NPI number 1700524402 Active

About NPI 1700524402

Tiya Shavon Clark's National Provider Identifier is 1700524402, issued on May 23, 2022. The primary taxonomy on file is Home Health Aide (374U00000X), and the practice location is in Lorain, OH. The record was last updated on Nov 7, 2022.