Individual provider · Type 1 NPI

Clint Jason Desoto

Home Modifications Contractor · Pollock, LA

NPI number 1326284563 Active

Practice location

461 Airbase Rd
Pollock, LA 71467-3549

Call (318) 715-1792 Map

Fax (318) 765-7641

Specialties and licenses

TaxonomyCodeLicense
Home Modifications Contractor Primary 171WH0202X89464 (LA)

Home Modifications Contractor: A contractor who makes modifications to homes to accommodate a health condition.

About NPI 1326284563

Clint Jason Desoto's National Provider Identifier is 1326284563, issued on Dec 17, 2008. The primary taxonomy on file is Home Modifications Contractor (171WH0202X), and the practice location is in Pollock, LA. The record was last updated on Dec 17, 2008.