DESTINY CLARK

Prosthetic/Orthotic Supplier

NPI: 1700578010Individual

Specialties, Licenses & Credentials

Prosthetic/Orthotic SupplierPrimary

Prosthetic/Orthotic Supplier

Code: 335E00000X

Contact & Hours

Address: 6811 OLD CANTON RD APT 3305
RIDGELAND, MS 39157
Phone: (769) 231-7366

Location

Practice Location

6811 OLD CANTON RD APT 3305, RIDGELAND, MS

Quick Facts

NPI: 1700578010
Entity Type: Individual
Gender: Female
Medicare: Not confirmed
Specialties: 1
Locations: 1

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