Individual provider · Type 1 NPI
Versailles G. Clark
Technician/Technologist · Davenport, FL
NPI number
1649977422
Active
Practice location
616 Corvina Dr
Davenport, FL 33897-4437
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Technician/Technologist Primary | 156F00000X | None listed |
Technician/Technologist: A broad category grouping different kinds of technologists and technicians. See individual definitions.
About NPI 1649977422
Versailles G. Clark's National Provider Identifier is 1649977422, issued on Feb 13, 2023. The primary taxonomy on file is Technician/Technologist (156F00000X), and the practice location is in Davenport, FL. The record was last updated on Feb 13, 2023.