Ansenio Clark, MLT
NPI #1699517821 in Montgomery, Alabama
Provider Information
- NPI Number
- 1699517821
- Entity Type
- Individual
- Name
- Ansenio Clark, MLT
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Clinical Medical Laboratory
- Credential
- MLT
- Enumeration Date
- Jun 10, 2024
- Last Updated
- Jun 10, 2024
Practice Location
- Address
- 1565 E TRINITY BLVD
- City
- Montgomery
- State
- Alabama
- ZIP Code
- 36106-2897
- Phone
- (334) 440-4538
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinical Medical Laboratory |
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