Individual
PATRICK NIKITA CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4281 DURANGO LN, MEMPHIS, TN 38109-4721
(901) 497-5132
Mailing address
4281 DURANGO LN, MEMPHIS, TN 38109-4721
(901) 497-5132
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
12/09/2014
Last updated
12/09/2014
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