Clark, Tiffany Renee

Clark, Tiffany Renee is an sole proprietor health care provider with primary practice located at 6632 Oaks Edge Dr , Zachary LA 70791-3259. She recently has only one registered license in Ambulatory Health Care Facilities / Adult Day Care, which is considered as her primary health care specialty. Clark, Tiffany Renee can be contacted via phone (225) 268-5939.

Contact Information

Primary practice address
6632 Oaks Edge Dr Zachary LA 70791-3259
Phone: (225) 268-5939
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Adult Day Care 261QA0600X

Profile Details

NPI number 1689226805
LBN Legal business name Clark, Tiffany Renee
Credentials SMALL BUSINESS OWNER
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 9th, 2019
Last updated Jul 9th, 2019 - about 5 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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