Individual
CAIIUS CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
X
Credential
L.AC
Contact information
Practice address
68 LYME RD, HANOVER, NH 03755-1212
(802) 356-0171
Mailing address
6317 BROAD BROOK RD, SOUTH ROYALTON, VT 05068-9774
(802) 356-0171
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
091.0134095
VT
171100000X
Acupuncturist
Primary
356
NH
Other
Enumeration date
06/06/2024
Last updated
06/06/2024
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