Individual
MARY S CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D, C.D.E
Contact information
Practice address
2000 HOSPITAL DR, SEDRO WOOLLEY, WA 98284-4327
(360) 856-6021
(360) 856-7300
Mailing address
719 HONEYSUCKLE DR, MOUNT VERNON, WA 98273-6623
(360) 424-6250
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DI00000724
WA
Other
Enumeration date
05/24/2007
Last updated
12/14/2010
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