Clyde R Spain

NPI #1326764028 in Addis, Louisiana

Provider Information

NPI Number
1326764028
Entity Type
Individual
Name
Clyde R Spain
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Non-emergency Medical Transport (VAN)
Enumeration Date
Oct 13, 2022
Last Updated
Oct 13, 2022

Practice Location

Address
4510 SUGAR HOLLOW LANE
City
Addis
ZIP Code
70710-2203
Phone
(225) 733-6695

Specialties & Taxonomy Codes

Specialty
Non-emergency Medical Transport (VAN)

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