Individual
ELIZABETH MARIE CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1212 W MYSTERY AVE STE B, WASILLA, AK 99654-6335
(907) 521-8002
Mailing address
1212 W MYSTERY AVE STE B, WASILLA, AK 99654-6335
(907) 521-8002
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
166299
AK
Other
Enumeration date
02/10/2021
Last updated
02/10/2021
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