Individual
SYDNEE CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3344 JASON LN, GRETNA, LA 70056-8632
(504) 669-8583
Mailing address
3344 JASON LN, GRETNA, LA 70056-8632
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
02/18/2019
Last updated
02/18/2019
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