LATISHA CLARK

SAN ANTONIO, TX
NPI1750756706
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: TX  AT4794)
Enumeration Date2015-12-02
Last Update Date2015-12-02
Business Address
-- LATISHA CLARK MS, ATC, LAT
4301 BROADWAY ST
SAN ANTONIO, TX 78209-6318
Phone number: 210-829-3826
Mailing Address
-- LATISHA CLARK MS, ATC, LAT
4301 BROADWAY ST
SAN ANTONIO, TX 78209-6318
Phone number:
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