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Individual

MS. LINDA R CLARK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MA, CNC

Contact information

Practice address
5150 SUNRISE BLVD., STE. H-4, FAIR OAKS, CA 95628
(916) 961-0676
(916) 961-0624
Mailing address
5150 SUNRISE BLVD., STE. H-4, FAIR OAKS, CA 95628
(916) 961-0676
(916) 961-0624

Taxonomy

Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary

Other

Enumeration date
02/22/2010
Last updated
02/22/2010
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