Individual
DANIELLE COLENE CLAYCOMB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
3759 BUSINESS 220 STE 101, BEDFORD, PA 15522-1130
(814) 977-9035
Mailing address
412 1/2 EAST PITT STEET, BEDFORD, PA 15522
(814) 977-9035
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MSG012717
PA
Other
Enumeration date
02/15/2022
Last updated
02/15/2022
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