MR. Larry Dean Clark III
NPI #1578263117 in Sacramento, California
Provider Information
- NPI Number
- 1578263117
- Entity Type
- Individual
- Name
- MR. Larry Dean Clark III
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Contractor
- Enumeration Date
- Mar 2, 2023
- Last Updated
- Mar 2, 2023
Practice Location
- Address
- 811 GRAND AVE
- City
- Sacramento
- State
- California
- ZIP Code
- 95838-3466
- Phone
- (916) 922-9868
Specialties & Taxonomy Codes
| Specialty |
|---|
| Contractor |
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