Search › Indiana › 251C00000X
Latisha Clark
NPI 1932714318 · on the registry since 2020 · sole proprietor
Practice
- Address
- 8109 Blackgum Ct
Indianapolis, IN 46236 - Phone
- (317) 658-5177
Registry record
- Primary taxonomy
- 251C00000X
251C00000X
- Sex
- Female
- Record last updated
- 2022-06-30
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 Indiana