Clyde R Spain
Clyde R Spain is a Non-emergency Medical Transport (VAN) in Addis, Louisiana. Practices as a sole proprietor. Licensed in Louisiana.
- Licensed in
- LA
- In the registry since
- 2022
Practice location Address checks out
4510 Sugar Hollow LnAddis, LA 70710-2203
Phone: (225) 733-6695
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Specialties & licences
| Non-emergency Medical Transport (VAN) (primary) | Taxonomy 343900000X (LA) |
|---|
Record details
| NPI number | 1326764028 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | October 13, 2022 |
| Last updated in NPPES | October 13, 2022 |
| Certification date | October 13, 2022 |
| Mailing address | 4510 Sugar Hollow Lane, Addis, LA 70710-2203 |
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