CHARETTA L CLARK

SHREVEPORT, LA
NPI1811645559
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy343900000X Non-emergency Medical Transport (VAN)
(Licence: LA  007325154)
Enumeration Date2022-03-11
Last Update Date2022-03-11
Business Address
CHARETTA L CLARK
7125 SUNTAN ST
SHREVEPORT, LA 71108-4927
Phone number: 318-465-6614
Mailing Address
CHARETTA L CLARK
7125 SUNTAN ST
SHREVEPORT, LA 71108-4927
Phone number: 318-205-1252
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