Charetta L Clark
Charetta L Clark is a Non-emergency Medical Transport (VAN) in Shreveport, Louisiana. Practices as a sole proprietor. Licensed in Louisiana.
- Licensed in
- LA
- In the registry since
- 2022
Practice location Address checks out
7125 Suntan StShreveport, LA 71108-4927
Phone: (318) 465-6614
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Specialties & licences
| Non-emergency Medical Transport (VAN) (primary) | Taxonomy 343900000X · Licence 007325154 (LA) |
|---|
Record details
| NPI number | 1811645559 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | March 11, 2022 |
| Last updated in NPPES | March 11, 2022 |
| Certification date | March 11, 2022 |
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