Individual
CELINA CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
200 1ST ST S, MONTESANO, WA 98563-3041
(360) 310-8028
Mailing address
18 MENZO HAVERLY RD, ELMA, WA 98541-9697
(253) 797-7830
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
WA
Other
Enumeration date
12/07/2022
Last updated
01/11/2023
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