Individual
RASHIDA MONIQUE CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
363 CENTRE ST, NUTLEY, NJ 07110-4706
(551) 697-2433
Mailing address
363 CENTRE ST, NUTLEY, NJ 07110-4706
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
18KT00984000
NJ
Other
Enumeration date
09/10/2016
Last updated
09/10/2016
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