Individual
GINA CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
6810 LANGDON LN, HOUSTON, TX 77074-6121
(281) 635-8096
Mailing address
6810 LANGDON LN, HOUSTON, TX 77074-6121
(281) 635-8096
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT128755
TX
Other
Enumeration date
03/03/2022
Last updated
03/11/2022
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