Organization
NORTH MOUNTAIN DIETETIC SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHARON S. CLARK R.D. (REGISTERED DIETITIAN)
(540) 331-5050
Entity
Organization
Contact information
Practice address
8006 SENEDO RD, MOUNT JACKSON, VA 22842-2232
(540) 477-4292
Mailing address
8006 SENEDO RD, MOUNT JACKSON, VA 22842-2232
(540) 477-4292
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
02/19/2009
Last updated
02/19/2009
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