Individual
KRISTA CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7700 UNIVERSITY DR, FANS, WEST CHESTER, OH 45069-2505
(513) 298-3649
Mailing address
7700 UNIVERSITY DR, FANS, WEST CHESTER, OH 45069-2505
(513) 298-3649
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
LD4510
OH
Other
Enumeration date
04/22/2017
Last updated
04/22/2017
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