IndividualActive
Alisha Clark
NPI 1104477546 · Driver · Indianapolis, IN
Provider details
- NPI number
- 1104477546
- Entity type
- Individual
- Primary specialty
- DriverOther Service Providers
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Other Service Providers
Practice location
3907 Elmonte Ct
Indianapolis, IN 46226-5536
Phone: (602) 814-7212
Approximate (ZIP-level) locationGet directions
Mailing address
3907 Elmonte Ct
Indianapolis, IN 46226-5536
Registry dates
- Enumerated
- 2019-09-26
- Last updated
- 2019-09-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.