Latisa Clark, LPN

NPI #1295225431 in Milford, Delaware

Provider Information

NPI Number
1295225431
Entity Type
Individual
Name
Latisa Clark, LPN
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Licensed Practical Nurse
Credential
LPN
Enumeration Date
May 14, 2018
Last Updated
May 14, 2018

Practice Location

Address
769 E MASTEN CIR STE 113
ZIP Code
19963-1268
Phone
(302) 856-4700

Specialties & Taxonomy Codes

Specialty
Licensed Practical Nurse

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