CAROL LACESHIA CLARK

JACKSON, SC
NPI1487432449
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: SC  46401)
Enumeration Date2023-09-20
Last Update Date2023-09-20
Business Address
Mrs. CAROL LACESHIA CLARK LPN
139 PAULINE ST
JACKSON, SC 29831-3136
Phone number: 803-450-6770
Mailing Address
Mrs. CAROL LACESHIA CLARK LPN
139 PAULINE ST
JACKSON, SC 29831-3136
Phone number: 803-450-6770