Individual
MRS. CORRIE LYNN CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDN, LD
Contact information
Practice address
27402 DANA CREEK DR, BOERNE, TX 78015-5066
(707) 363-3125
Mailing address
27402 DANA CREEK DR, BOERNE, TX 78015-5066
(707) 363-3125
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DT83971
TX
Other
Enumeration date
05/24/2021
Last updated
09/21/2021
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