person
Alisha Clark
Driver in Indianapolis, Indiana
NPI 1104477546

Alisha Clark is a Driver based in Indianapolis, IN. Alisha Clark practices in Indianapolis, IN. The NPI Number for Alisha Clark is 1104477546 and holds a License No. (Indiana).

The current practice location address for Alisha Clark is 3907 Elmonte Ct, Indianapolis, IN and can be reached out via phone at 602-814-7212. You can also correspond with Alisha Clark through the mailing address at 3907 ELMONTE CT, INDIANAPOLIS, IN - 46226-5536 (mailing address contact number: 602-814-7212).

Location: 3907 Elmonte Ct, Indianapolis, IN, 46226-5536
person
Provider Profile Details
NPI Number
1104477546
Provider Name
Alisha Clark
Credential
Provider Entity Type
Individual
Gender
Female
Address
3907 Elmonte Ct, Indianapolis, IN, 46226-5536
Phone Number
602-814-7212
Fax Number
Provider Enumeration Date
09/26/2019
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
843176537 05 IN
institution
Provider Business Practice Location Address Details
Address
3907 Elmonte Ct
City
State
Zip
46226-5536
Phone Number
602-814-7212
Fax Number
person
Provider Business Mailing Address Details
Address
3907 Elmonte Ct
City
State
Zip
46226-5536
Phone Number
602-814-7212
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Driver
Speciality
-
Taxonomy
License No.
(Indiana)
Definition
A person employed to operate a motor vehicle as a carrier of persons or property.
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