Individual
KRISTY SUE CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1149 W WOOD ST, WILLOWS, CA 95988-2614
(530) 361-6480
Mailing address
110 5TH ST, ORLAND, CA 95963-1302
(530) 828-0311
Taxonomy
Speciality
Code
Description
License number
State
171400000X
Health & Wellness Coach
Primary
—
—
Other
Enumeration date
08/28/2025
Last updated
08/28/2025
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