Clark, Alisha Victoria

Clark, Alisha Victoria is an individual health care provider with primary practice located at 2507 Old Saint Augustine Rd , Tallahassee FL 32301-6209. She recently has only one registered license in Other Service Providers / Independent Duty Medical Technicians, which is considered as her primary health care specialty. Clark, Alisha Victoria can be contacted via phone (866) 466-2475.

Contact Information

Primary practice address
2507 Old Saint Augustine Rd Tallahassee FL 32301-6209
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Independent Duty Medical Technicians 1710I1003X E2027750 Texas

Profile Details

NPI number 1205502655
LBN Legal business name Clark, Alisha Victoria
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 17th, 2021
Last updated Aug 17th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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