Crystal Clark, LMT | |
12506 Ne 4th Ave Apt 101, North Miami, FL 33161-4668 | |
(305) 714-2159 | |
Not Available |
Full Name | Crystal Clark |
---|---|
Gender | Female |
Speciality | Massage Therapist |
Location | 12506 Ne 4th Ave Apt 101, North Miami, Florida |
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1619581311 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225700000X | Massage Therapist | MA83036 (Florida) | Primary |
Mailing Address | Practice Location Address |
---|---|
Crystal Clark, LMT 12506 Ne 4th Ave Apt 101, North Miami, FL 33161-4668 Ph: (305) 714-2159 | Crystal Clark, LMT 12506 Ne 4th Ave Apt 101, North Miami, FL 33161-4668 Ph: (305) 714-2159 |
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