Individual
RACHAEL L CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4095 E PONY EXPRESS PKWY, EAGLE MOUNTAIN, UT 84005-5529
(801) 429-8037
Mailing address
6657 W SKIP ROCK RD, SOUTH JORDAN, UT 84009-1754
(801) 865-9670
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
8471403
UT
Other
Enumeration date
07/11/2023
Last updated
07/11/2023
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