Individual provider · Type 1 NPI

Alisha Clark

Driver · Indianapolis, IN

NPI number 1104477546 Active

Practice location

3907 Elmonte Ct
Indianapolis, IN 46226-5536

Call (602) 814-7212 Map

Specialties and licenses

TaxonomyCodeLicense
Driver Primary 172A00000XNone listed

Driver: A person employed to operate a motor vehicle as a carrier of persons or property.

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About NPI 1104477546

Alisha Clark's National Provider Identifier is 1104477546, issued on Sep 26, 2019. The primary taxonomy on file is Driver (172A00000X), and the practice location is in Indianapolis, IN. The record was last updated on Sep 26, 2019.