Individual
GEORQUETTA M CLEMONS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9104 SHIPHERD CT, CLEVELAND, OH 44106-1041
(216) 820-8343
Mailing address
9104 SHIPHERD CT, CLEVELAND, OH 44106-1041
(216) 820-8343
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
33.022698
OH
Other
Enumeration date
01/01/2021
Last updated
01/01/2021
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