Clark, Debra Diane

Clark, Debra Diane is an sole proprietor health care provider with primary practice located at 104 53Rd Ave E , Bradenton FL 34203-4702. She recently has only one registered license in Other Service Providers / Reflexologist, which is considered as her primary health care specialty. Clark, Debra Diane can be contacted via phone (941) 727-3529.

Contact Information

Primary practice address
104 53Rd Ave E Bradenton FL 34203-4702
Phone: (941) 727-3529
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Reflexologist 173C00000X 173C00000X Florida

Profile Details

NPI number 1952539785
LBN Legal business name Clark, Debra Diane
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 1st, 2009
Last updated Jul 1st, 2009 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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