Individual
ANNA CLARKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1176 ACKISON ST, RACELAND, KY 41169-1923
(606) 833-0815
Mailing address
1176 ACKISON ST, RACELAND, KY 41169-1923
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
123661
KY
133V00000X
Registered Dietitian
Primary
LD.5351
OH
Other
Enumeration date
04/01/2022
Last updated
08/25/2022
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