Individual
BIANCA L CLINKSCALE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
45 W 45TH ST, NEW YORK, NY 10036
(657) 549-1317
Mailing address
8583 IRVINE CENTER DR # 368, IRVINE, CA 92618-4298
(657) 549-1317
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
82442
CA
Other
Enumeration date
08/02/2021
Last updated
08/02/2021
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