Individual
EFIA TERAY CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
906 S ROCHESTER RD STE 114, ROCHESTER HILLS, MI 48307-2742
(313) 422-3372
Mailing address
906 S ROCHESTER RD, ROCHESTER HILLS, MI 48307-2742
(313) 422-3372
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
7501005352
MI
Other
Enumeration date
05/15/2024
Last updated
05/15/2024
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