Individual
MRS. MARY CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DACM
Contact information
Practice address
8358 SIX FORKS RD STE 204, RALEIGH, NC 27615-5093
(919) 909-5736
Mailing address
8358 SIX FORKS RD STE 204, RALEIGH, NC 27615-5093
(919) 909-5736
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
932
NC
225700000X
Massage Therapist
16220
NC
Other
Enumeration date
02/16/2017
Last updated
10/27/2024
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