Dubachanette Clark
Technician, Personal Care Attendant in Tallulah, LA. Individual provider (NPI-1).
NPI number1003662883
StatusActive
Last updated in NPPESApr 24, 2024
Details
- NPI
- 1003662883
- Entity type
- Individual (NPI-1)
- Name
- Dubachanette Clark
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Apr 24, 2024
- Certification date
- Apr 24, 2024
- Last updated
- Apr 24, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3747P1801X | Technician, Personal Care Attendant | 1758001925 | LA | Yes |
| 385H00000X | Respite Care | 770641488 | LA |
Practice location
402 E Craig StTallulah, LA 71282-3718
Phone 318-574-9009
Mailing address
402 E Craig StTallulah, LA 71282-3718
Phone 318-574-9009
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All 41 Personal Care Attendant providers in Tallulah · All 369 providers in Tallulah
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