Individual
ANGEL JUSON CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1514 N ZARAGOZA RD STE A4, EL PASO, TX 79936-8040
(915) 373-9181
Mailing address
5825 FLOUNDER DR, EL PASO, TX 79924-5603
(915) 373-9181
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT041445
TX
Other
Enumeration date
07/15/2025
Last updated
12/10/2025
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