Individual
MR. LARRY DEAN CLARK III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
811 GRAND AVE, SACRAMENTO, CA 95838-3466
(916) 922-9868
Mailing address
811 GRAND AVE, SACRAMENTO, CA 95838-3466
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0
—
CA
Enumeration date
03/02/2023
Last updated
03/02/2023
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