Individual
MS. LEANNA RENEE CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDN
Contact information
Practice address
321 HERBERTSVILLE ROAD, FIRST FLOOR, BRICK, NJ 08724
(732) 709-7730
Mailing address
912 PARK PLACE, RED BANK, NJ 07701
(908) 675-3316
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86116322
NJ
Other
Enumeration date
05/08/2023
Last updated
05/08/2023
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