NPI 1770246514
Donta Lasharra Clark
Practice location
- Address
- 106 Shemper Dr APT 3, Hattiesburg, MS 39401-4419
- Phone
- (601) 329-5875
Registered specialties
Home Health Aide
Primary
Registry record
- NPI
- 1770246514
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 19 Oct 2021
- Record last updated
- 22 Oct 2021
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.