Individual
EMMA JEAN CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
21907 64TH AVE. W, SUITE # 110, MOUNTLAKE TERRACE, WA 98043
(425) 673-5220
(425) 673-1597
Mailing address
2445 140TH AVE. NE, SUITE B-105, BELLEVUE, WA 98005
(425) 644-6328
(425) 644-6295
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA00028464
WA
Other
Enumeration date
01/12/2007
Last updated
04/28/2009
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