Search › Mississippi › 133V00000X
Latossia Clark
NPI 1932689551 · on the registry since 2018 · sole proprietor
Practice
- Address
- 1058 George Bridges Rd
Crawford, MS 39743 - Phone
- (662) 352-1375
Registry record
- Primary taxonomy
- 133V00000X
133V00000X
- Licence states on file
- MS
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2018-08-14
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 Mississippi