Individual
ADELIA CLARKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11832 233RD ST, CAMBRIA HEIGHTS, NY 11411-2228
(718) 949-6825
Mailing address
11832 233RD ST, CAMBRIA HEIGHTS, NY 11411-2228
(718) 949-6825
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
—
—
Other
Enumeration date
08/11/2010
Last updated
08/11/2010
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