Tiffany Renee Clark, SMALLBUSINESSOWNER
Tiffany Renee Clark, SMALLBUSINESSOWNER is an Adult Day Care Clinic/Center in Zachary, Louisiana. Practices as a sole proprietor. Registered with an NPI since 2019.
- In the registry since
- 2019
Practice location Address checks out
6632 Oaks Edge DrZachary, LA 70791-3259
Phone: (225) 268-5939
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Adult Day Care Clinic/Center (primary) | Taxonomy 261QA0600X |
|---|
Record details
| NPI number | 1689226805 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | SMALLBUSINESSOWNER |
| Sole proprietor | Yes |
| NPI enumerated | July 9, 2019 |
| Last updated in NPPES | July 9, 2019 |