Santago Clark is a Driver based in Addis, LA. Santago Clark practices in Addis, LA. The NPI Number for Santago Clark is 1598231011 and holds a License No. (Louisiana).
The current practice location address for Santago Clark is 4607 Trial Dr., Addis, LA and can be reached out via phone at 225-907-6659.
Location: 4607 Trial Dr., Addis, LA, 70710
Provider Profile Details
NPI Number
1598231011
Provider Name
Santago Clark
Credential
Provider Entity Type
Individual
Gender
Male
Address
4607 Trial Dr., Addis, LA, 70710
Phone Number
225-907-6659
Fax Number
Provider Enumeration Date
10/23/2018
Last Update Date
03/10/2024
Provider Business Practice Location Address Details
Address
4607 Trial Dr.
City
State
Zip
70710
Phone Number
225-907-6659
Fax Number
Provider Business Mailing Address Details
Address
4607 Trial Dr.
City
State
Zip
70710
Phone Number
225-907-6659
Fax Number
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Driver
Speciality
-
Taxonomy
License No.
()
Definition
A person employed to operate a motor vehicle as a carrier of persons or property.
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