LATISA CLARK

MILFORD, DE
NPI1295225431
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: DE  L2-0012231)
Enumeration Date2018-05-14
Last Update Date2018-05-14
Business Address
LATISA CLARK LPN
769 E MASTEN CIR STE 113
MILFORD, DE 19963-1268
Phone number: 302-856-4700
Mailing Address
LATISA CLARK LPN
769 E MASTEN CIR STE 113
MILFORD, DE 19963-1268
Phone number: 302-856-4700