MR. Santago Clark

NPI #1598231011 in Addis, Louisiana

Provider Information

NPI Number
1598231011
Entity Type
Individual
Name
MR. Santago Clark
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Driver
Enumeration Date
Oct 23, 2018
Last Updated
Oct 23, 2018

Practice Location

Address
4607 TRIAL DR.
City
Addis
ZIP Code
70710
Phone
(225) 907-6659

Specialties & Taxonomy Codes

Specialty
Driver

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