Individual
AYLAH CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.D.
Contact information
Practice address
100 SIMSBURY RD, 209, AVON, CT 06001-3793
(860) 674-0111
Mailing address
100 SIMSBURY RD, 209, AVON, CT 06001-3793
Taxonomy
Speciality
Code
Description
License number
State
175F00000X
Naturopath
Primary
5.000540
CT
Other
Enumeration date
08/07/2015
Last updated
08/07/2015
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