SearchLouisiana101YM0800X

Erica Clark

NPI 1730546656 · on the registry since 2016 · sole proprietor

Practice

Address
2209 Roosevelt Ave
Shreveport, LA 71104
Phone
(318) 219-6224

Registry record

Primary taxonomy
101YM0800X
101YM0800X
Sex
Female
Record last updated
2016-01-22

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