Ummi Clark, CMT, CLC, CSC | |
365 W 2nd Ave Ste 207, Escondido, CA 92025-4151 | |
(760) 705-5830 | |
Not Available |
Full Name | Ummi Clark |
---|---|
Gender | Female |
Speciality | Massage Therapist |
Location | 365 W 2nd Ave Ste 207, Escondido, California |
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1447640289 | NPI | - | NPPES |
1447640289 | Other | CA | NPI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225700000X | Massage Therapist | 41928 (California) | Primary |
Mailing Address | Practice Location Address |
---|---|
Ummi Clark, CMT, CLC, CSC 365 W 2nd Ave Ste 107, Escondido, CA 92025-4136 Ph: (760) 705-5830 | Ummi Clark, CMT, CLC, CSC 365 W 2nd Ave Ste 207, Escondido, CA 92025-4151 Ph: (760) 705-5830 |
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