Mr. Santago Clark
Mr. Santago Clark is a Driver in Addis, Louisiana. Practices as a sole proprietor. Registered with an NPI since 2018.
- In the registry since
- 2018
Practice location Address checks out
4607 Trial DrAddis, LA 70710
Phone: (225) 907-6659
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Driver (primary) | Taxonomy 172A00000X |
|---|
Record details
| NPI number | 1598231011 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | October 23, 2018 |
| Last updated in NPPES | October 23, 2018 |
| Mailing address | 4607 Trial Dr., Addis, LA 70710 |