Individual
MS. CLARA TAVAREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6801 FALLS OF THE NEUSSE, RALEIGH, NC 27615
(919) 870-0179
Mailing address
3508 UTICA DR, RALEIGH, NC 27609-7426
(919) 649-6791
(919) 981-7395
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
984
NC
Other
Enumeration date
04/26/2007
Last updated
07/08/2007
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