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Charetta Clark
NPI 1811645559 · on the registry since 2022 · sole proprietor
Practice
- Address
- 7125 Suntan St
Shreveport, LA 71108 - Phone
- (318) 465-6614
- Organisation at this address
- C & B Transport 9 Llc
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 343900000X
343900000X
- Licence states on file
- LA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2022-03-11
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Louisiana