Latossia Brunell Clark
NPI #1932689551 in Crawford, Mississippi
Provider Information
- NPI Number
- 1932689551
- Entity Type
- Individual
- Name
- Latossia Brunell Clark
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dietitian, Registered
- Enumeration Date
- Aug 14, 2018
- Last Updated
- Aug 14, 2018
Practice Location
- Address
- 1058 GEORGE BRIDGES RD
- City
- Crawford
- State
- Mississippi
- ZIP Code
- 39743-9425
- Phone
- (662) 352-1375
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dietitian, Registered |
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