Individual
PATRICIA DIONISIO CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1001 GAUSE BLVD, SLIDELL, LA 70458-2939
(985) 280-1564
(985) 280-9680
Mailing address
1001 GAUSE BLVD, SLIDELL, LA 70458-2939
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
2225
LA
Other
Enumeration date
01/10/2025
Last updated
01/10/2025
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