DEBRA DIANE CLARK

BRADENTON, FL
NPI1952539785
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy173C00000X Reflexologist
(Licence: FL  173C00000X)
Enumeration Date2009-07-01
Last Update Date2009-07-01
Business Address
MRS. DEBRA DIANE CLARK
104 53RD AVE E
BRADENTON, FL 34203-4702
Phone number: 941-727-3529
Mailing Address
MRS. DEBRA DIANE CLARK
104 53RD AVE E
BRADENTON, FL 34203-4702
Phone number: 994-172-7352