Charetta L Clark - Shreveport, LA

Charetta L Clark

Non-emergency Medical Transport (VAN) in Shreveport, Louisiana

NPI 1811645559

Charetta L Clark is a Non-emergency Medical Transport (VAN) based in Shreveport, LA. Charetta L Clark practices in Shreveport, LA. The NPI Number for Charetta L Clark is 1811645559 and holds a License No. 007325154 (Louisiana).

The current practice location address for Charetta L Clark is 7125 Suntan St, Shreveport, LA and can be reached out via phone at 318-465-6614.

Location: 7125 Suntan St, Shreveport, LA, 71108-4927

NPI Number

1811645559

Provider Name

Charetta L Clark

Credential

Provider Entity Type

Individual

Gender

Female

Address

7125 Suntan St, Shreveport, LA, 71108-4927

Phone Number

318-465-6614

Fax Number

Provider Enumeration Date

03/11/2022

Last Update Date

03/10/2024

Address

7125 Suntan St

City

Shreveport

State

Louisiana

Zip

71108-4927

Phone Number

318-465-6614

Fax Number

Address

7125 Suntan St

City

Shreveport

State

Louisiana

Zip

71108-4927

Phone Number

318-465-6614

Fax Number

Type

Transportation Services

Classification

Non-emergency Medical Transport (VAN)

Speciality

Taxonomy

343900000X

License No.

007325154 (Louisiana)

Definition

A land vehicle with a capacity to meet special height, clearance, access, and seating, for the conveyance of persons in non-emergency situations. The vehicle may or may not be required to meet local county or state regulations.

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