Individual
MRS. ELAINE FRANCES CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
9730 STATE ROUTE 532 STE D, STANWOOD, WA 98292-8054
(360) 572-3709
(360) 572-3709
Mailing address
9730 STATE ROUTE 532 STE D, STANWOOD, WA 98292-8054
(360) 572-3709
(360) 572-4481
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
00024125
WA
225700000X
Massage Therapist
Primary
MA00024125
WA
Other
Enumeration date
12/14/2010
Last updated
01/20/2021
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