Individual
BRITTNEY CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
3501 US 190, EUINCE, LA 70535
(337) 580-7500
Mailing address
1511 SALISBURY DR, BATON ROUGE, LA 70816-7204
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
211595
LA
Other
Enumeration date
01/27/2020
Last updated
01/27/2020
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