ERICA CLACK

Licensed Vocational Nurse

Active Individual
NPI: 1639734502

Practice Address

406 E PLANTERS ST
San Augustine, TX 75972

Phone: (936) 201-2132

Specialties

Specialty Code Primary License
Licensed Vocational Nurse 164X00000X Yes 319226 (TX)

Frequently Asked Questions

NPI 1639734502 is the National Provider Identifier for ERICA CLACK, a Licensed Vocational Nurse provider located in San Augustine, TX. This NPI was enumerated on May 7, 2019.
ERICA CLACK practices at 406 E PLANTERS ST, San Augustine, TX 75972.

Quick Facts

NPI
1639734502
Type
Individual
Enumerated
May 7, 2019
Last Updated
May 7, 2019

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