DONTA CLARK

Home Health Aide

Active Individual
NPI: 1770246514

Practice Address

106 SHEMPER DR APT 3
Hattiesburg, MS 39401

Phone: (601) 329-5875

Specialties

Specialty Code Primary License
Home Health Aide 374U00000X Yes -

Frequently Asked Questions

NPI 1770246514 is the National Provider Identifier for DONTA CLARK, a Home Health Aide provider located in Hattiesburg, MS. This NPI was enumerated on October 19, 2021.
DONTA CLARK practices at 106 SHEMPER DR APT 3, Hattiesburg, MS 39401.

Quick Facts

NPI
1770246514
Type
Individual
Enumerated
Oct 19, 2021
Last Updated
Oct 22, 2021

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