Individual
JACLYN CLARKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
54 RICHMOND TOWNHOUSE RD, RICHMOND, RI 02898-1228
(401) 408-8485
Mailing address
54 RICHMOND TOWNHOUSE RD, RICHMOND, RI 02898-1228
(401) 408-8485
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT02434
RI
Other
Enumeration date
06/11/2019
Last updated
06/11/2019
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