Individual
ANGELA MARIE CLINTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RD, LD
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
3973
MN
133V00000X
Registered Dietitian
86066342
CA
Other
Enumeration date
09/07/2018
Last updated
10/13/2020
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