Individual
ALEXA MARY CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
601 JOHN ST, KALAMAZOO, MI 49007-5341
(296) 341-7688
Mailing address
8606 N 36TH ST, RICHLAND, MI 49083-9333
(810) 542-0199
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
01/20/2018
Last updated
01/20/2018
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