IndividualActive
Clint Desoto
NPI 1326284563 · Home Modifications Contractor · Pollock, LA
Provider details
- NPI number
- 1326284563
- Entity type
- Individual
- Primary specialty
- Home Modifications ContractorOther Service Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- 89464 (LA)
Specialties & taxonomies
Other Service Providers
Practice location
461 Airbase Rd
Pollock, LA 71467-3549
Phone: (318) 715-1792
Fax: (318) 765-7641
Approximate (ZIP-level) locationGet directions
Mailing address
461 Airbase Rd
Pollock, LA 71467-3549
Registry dates
- Enumerated
- 2008-12-17
- Last updated
- 2008-12-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.