Individual
KIERRA CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RCR
Contact information
Practice address
5115 SUNNY AUTUMN LN, MEMPHIS, TN 38125-4532
(901) 254-3861
Mailing address
5115 SUNNY AUTUMN LN, MEMPHIS, TN 38125-4532
(901) 254-3861
Taxonomy
Speciality
Code
Description
License number
State
173C00000X
Reflexologist
Primary
574
TN
Other
Enumeration date
12/27/2019
Last updated
12/06/2024
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