Individual
ELIZABETH ANN CLARKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., R.D.
Contact information
Practice address
1000 N SHENANDOAH AVE, FRONT ROYAL, VA 22630
(540) 636-0270
(540) 636-0273
Mailing address
1000 N SHENANDOAH AVE, FRONT ROYAL, VA 22630
(540) 636-0270
(540) 636-0273
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
953817
VA
Other
Enumeration date
04/13/2007
Last updated
07/08/2007
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