TIFFANY RENEE CLARK

ZACHARY, LA
NPI1689226805
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy261QA0600X Clinic/Center, Adult Day Care
Enumeration Date2019-07-09
Last Update Date2019-07-09
Business Address
TIFFANY RENEE CLARK Small Business Owner
6632 OAKS EDGE DR
ZACHARY, LA 70791-3259
Phone number: 225-268-5939
Mailing Address
TIFFANY RENEE CLARK Small Business Owner
PO BOX 34
ZACHARY, LA 70791-0034
Phone number: 225-268-5939