Individual
SHANIA CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RD, LD
Contact information
Practice address
18 N MAIN ST STE 303&304, CONCORD, NH 03301-4926
(603) 223-8119
Mailing address
715 ELEY LN, PEMBROKE, NH 03275-3817
(603) 219-7437
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1885
NH
Other
Enumeration date
08/12/2024
Last updated
08/12/2024
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