Clark, Donta Lasharra
Clark, Donta Lasharra is an sole proprietor health care provider with primary practice located at 106 Shemper Dr Apt 3 , Hattiesburg MS 39401-4419. She recently has only one registered license in Nursing Service Related Providers / Home Health Aide, which is considered as her primary health care specialty. Clark, Donta Lasharra can be contacted via phone (601) 329-5875.Contact Information
Primary practice address
106 Shemper Dr Apt 3
Hattiesburg MS 39401-4419
Phone: (601) 329-5875
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Related Providers / Home Health Aide | 374U00000X |
Profile Details
| NPI number | 1770246514 |
|---|---|
| LBN Legal business name | Clark, Donta Lasharra |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 19th, 2021 |
| Last updated | Oct 22nd, 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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