Search › Louisiana › 171M00000X
Charise Clark
NPI 1811354723 · on the registry since 2016 · sole proprietor
Practice
- Address
- 904 Mill St
Colfax, LA 71417 - Phone
- (318) 627-5594
Registry record
- Primary taxonomy
- 171M00000X
171M00000X
- Also registered as
- 101YM0800X
- Sex
- Female
- Record last updated
- 2018-08-01
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