person
Mrs. Shannon Jackie Clark
Contractor in Tucson, Arizona
NPI 1700940855

Shannon Jackie Clark is a Contractor based in Tucson, AZ. Shannon Jackie Clark practices in Tucson, AZ. The NPI Number for Shannon Jackie Clark is 1700940855 and holds a License No. 11816 (Arizona).

The current practice location address for Shannon Jackie Clark is 10750 S Knoll Crest Ln, Tucson, AZ and can be reached out via phone at 520-574-2911 and via fax at 520-750-0056. You can also correspond with Shannon Jackie Clark through the mailing address at 10750 S KNOLL CREST LN, TUCSON, AZ - 85706-9052 (mailing address contact number: 520-574-2911).

Location: 10750 S Knoll Crest Ln, Tucson, AZ, 85706-9052
person
Provider Profile Details
NPI Number
1700940855
Provider Name
Shannon Jackie Clark
Credential
Provider Entity Type
Individual
Gender
Female
Address
10750 S Knoll Crest Ln, Tucson, AZ, 85706-9052
Phone Number
520-574-2911
Fax Number
520-750-0056
Provider Enumeration Date
12/21/2006
Last Update Date
03/08/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
162753 05 AZ
institution
Provider Business Practice Location Address Details
Address
10750 S Knoll Crest Ln
City
State
Zip
85706-9052
Phone Number
520-574-2911
Fax Number
520-750-0056
person
Provider Business Mailing Address Details
Address
10750 S Knoll Crest Ln
City
State
Zip
85706-9052
Phone Number
520-574-2911
Fax Number
520-750-0056
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Contractor
Speciality
-
Taxonomy
License No.
11816 (Arizona)
Definition
A person who contracts to supply certain materials or do certain work for a stipulated sum; esp., one whose business is contracting work in any of the building trades. For purposes of the taxonomy, a person who contracts to complete home repairs or modifications to accommodate a health condition (e.g. wheelchair ramp, kitchen counter lowering).
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