Individual
LISA CONTRERAS CLARKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD, CSSD
Contact information
Practice address
211 REDBIRD LANE, BEAUMONT, TX 77705-9801
(409) 880-2359
Mailing address
849 HARVARD ST APT D, HOUSTON, TX 77007-1644
(254) 640-0612
Taxonomy
Speciality
Code
Description
License number
State
133VN1501X
Sports Dietetics Nutrition Registered Dietitian
Primary
DT85055
TX
Other
Enumeration date
11/11/2020
Last updated
11/11/2020
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