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Santago Clark

NPI 1598231011 · on the registry since 2018 · sole proprietor

Practice

Address
4607 Trial Dr.
Addis, LA 70710
Phone
(225) 907-6659

Registry record

Primary taxonomy
172A00000X
172A00000X
Sex
Male
Record last updated
2018-10-23

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 Louisiana