Search › Virginia › 253Z00000X
Latrice Clark
NPI 1043855687 · on the registry since 2019 · sole proprietor
Practice
- Address
- 5226 Whetstone Rd
N Chesterfld, VA 23234 - Phone
- (336) 866-9248
Registry record
- Primary taxonomy
- 253Z00000X
253Z00000X
- Also registered as
- 172A00000X
3747P1801X
376J00000X
376K00000X - Licence states on file
- VA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2019-11-07
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Virginia