Mrs. Shannon Jackie Clark - Tucson, AZ

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.

Location: 10750 S Knoll Crest Ln, Tucson, AZ, 85706-9052

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

Identifier	Type	State	Issuer
162753	05	AZ

Address

10750 S Knoll Crest Ln

City

Tucson

State

Arizona

Zip

85706-9052

Phone Number

520-574-2911

Fax Number

520-750-0056

Address

10750 S Knoll Crest Ln

City

Tucson

State

Arizona

Zip

85706-9052

Phone Number

520-574-2911

Fax Number

520-750-0056

Type

Other Service Providers

Classification

Contractor

Speciality

Taxonomy

171W00000X

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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