Dedra Clark

NPI #1164268348 in Bend, Oregon

Provider Information

NPI Number: 1164268348
Entity Type: Individual
Name: Dedra Clark
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Enumeration Date: Jul 8, 2024
Last Updated: Jul 8, 2024

Practice Location

Address: 361 NE FRANKLIN AVE
City: Bend
State: Oregon
ZIP Code: 97701-4917
Phone: (541) 241-8652

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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