person
Clint Jason Desoto
Home Modifications Contractor in Pollock, Louisiana
NPI 1326284563

Clint Jason Desoto is a Home Modifications Contractor based in Pollock, LA and is specialized in Home Modifications. Clint Jason Desoto practices in Pollock, LA. The NPI Number for Clint Jason Desoto is 1326284563 and holds a License No. 89464 (Louisiana).

The current practice location address for Clint Jason Desoto is 461 Airbase Rd, Pollock, LA and can be reached out via phone at 318-715-1792 and via fax at 318-765-7641.

Location: 461 Airbase Rd, Pollock, LA, 71467-3549
person
Provider Profile Details
NPI Number
1326284563
Provider Name
Clint Jason Desoto
Credential
Provider Entity Type
Individual
Gender
Male
Address
461 Airbase Rd, Pollock, LA, 71467-3549
Phone Number
318-715-1792
Fax Number
318-765-7641
Provider Enumeration Date
12/17/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
461 Airbase Rd
City
State
Zip
71467-3549
Phone Number
318-715-1792
Fax Number
318-765-7641
person
Provider Business Mailing Address Details
Address
461 Airbase Rd
City
State
Zip
71467-3549
Phone Number
318-715-1792
Fax Number
318-765-7641
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Contractor
Speciality
Home Modifications
Taxonomy
License No.
89464 (Louisiana)
Definition
Definition to come...
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