Individual
ANDREA CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5475 S 500 E, OGDEN, UT 84405-6905
(801) 479-2181
Mailing address
5475 S 500 E, OGDEN, UT 84405-6905
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
01/15/2025
Last updated
01/15/2025
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