Henry Larry Clark
Technician in Mesquite, NV. Individual provider (NPI-1).
NPI number1982253696
StatusActive
Last updated in NPPESSep 5, 2019
Details
- NPI
- 1982253696
- Entity type
- Individual (NPI-1)
- Name
- Henry Larry Clark
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Sep 5, 2019
- Last updated
- Sep 5, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 374700000X | Technician | – | – | Yes |
| 372500000X | Chore Provider | – | – | |
| 372600000X | Adult Companion | – | – | |
| 3747A0650X | Technician, Attendant Care Provider | – | – | |
| 376J00000X | Homemaker | – | – |
Practice location
550 W Pioneer Blvd Ste 204Mesquite, NV 89027-1406
Phone 702-345-4065 · Fax 702-345-4077
Mailing address
Po Box 7173Bunkerville, NV 89007-0173
Phone 702-335-0241
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Other Technician providers in Mesquite, NV
- Edna T CalangasanNPI 1699241646
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- Olivia VillanuevaNPI 1316413354
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All 6 Technician providers in Mesquite · All 341 providers in Mesquite
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