Individual
AMY CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, LD
Contact information
Practice address
3801 S JAMES ST STE 400, GRIMES, IA 50111-5167
(515) 695-3768
(833) 719-1241
Mailing address
3801 S JAMES ST STE 400, GRIMES, IA 50111-5167
(515) 695-3768
(833) 719-1241
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
01650
IA
Other
Enumeration date
01/24/2007
Last updated
12/21/2023
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