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Contact Information

ANDREA CLARK, RENAL DIETITIAN
720 S RIVER RD STE D1100
SAINT GEORGE, UT84790-5522
 Phone: 435-656-0857
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nutrition, Renal

133VN1005X 71 Registered Dietitian or Nutrition Professional
Indicates primary specialty

NPI Profile & details for ANDREA CLARK · (Female)

NPI # 1710198528
Status Active
Credentials RENAL DIETITIAN
Entity Individual
Enumeration date 05/24/2007
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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