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Individual

MRS. NIKO SHONDTAIN CLARK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMT

Contact information

Practice address
150 S HOUSTON LAKE RD STE 700, WARNER ROBINS, GA 31088-9073
(201) 336-0717
Mailing address
150 S HOUSTON LAKE RD STE 700, WARNER ROBINS, GA 31088-9073
(860) 514-8241

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT014220
GA

Other

Enumeration date
01/27/2026
Last updated
01/27/2026
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