Individual
MRS. BRENDA J. CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
19626 NARA VISTA DR, TOMBALL, TX 77377-3478
(713) 492-7767
Mailing address
19626 NARA VISTA DR, TOMBALL, TX 77377-3478
(713) 492-7767
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT046374
TX
Other
Enumeration date
06/23/2011
Last updated
06/23/2011
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