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NPI Profile for TANYA E CLARKE in SAN ANTONIO, TX.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Nursing Facility Supplies |
332BN1400X | 87 | All Other Suppliers |
| NPI # | 1760624803 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 04/06/2009 | |
| Last updated | 04/06/2009 - About 17 years ago | |
| Sole proprietor 1 | Yes | |
| Identifiers | Not Available | |
| Hospital affiliation(s) | Not Available |
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TANYA E CLARKE