Donta Lasharra Clark
Donta Lasharra Clark is a Home Health Aide in Hattiesburg, Mississippi. Practices as a sole proprietor. Registered with an NPI since 2021.
- In the registry since
- 2021
Practice location Address checks out
106 Shemper Dr Apt 3Hattiesburg, MS 39401-4419
Phone: (601) 329-5875
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Specialties & licences
| Home Health Aide (primary) | Taxonomy 374U00000X |
|---|
Record details
| NPI number | 1770246514 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | October 19, 2021 |
| Last updated in NPPES | October 22, 2021 |
| Certification date | October 22, 2021 |
| Mailing address | 106 Shemper Dr Apt 3, Hattiesburg, MS 39401-4419 |
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