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DONTA LASHARRA CLARK

Individual Provider (NPI-1) Active

Home Health Aide

Provider Information

NPI Number
1770246514
Provider Type
Individual Provider (NPI-1)
Status
Active

Contact & Location

Address
106 SHEMPER DR APT 3, HATTIESBURG, MS, 394014419
Phone
(601) 329-5875

Specialties & Taxonomies

Home Health Aide Primary

All Addresses

LOCATION

106 SHEMPER DR APT 3

HATTIESBURG, MS, 394014419

(601) 329-5875

MAILING

106 SHEMPER DR APT 3

HATTIESBURG, MS, 394014419

(601) 329-5875