Individual
JACQUELINE FRANCES FENTON-CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
387 HOOKER AVE STE 2, POUGHKEEPSIE, NY 12603-3631
(845) 452-3743
Mailing address
387 HOOKER AVE STE 2, POUGHKEEPSIE, NY 12603-3631
(845) 452-3743
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
003716-01
NY
Other
Enumeration date
08/19/2024
Last updated
08/19/2024
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