Individual
DIANA CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
100 ONEILL CT, FOLSOM, CA 95630-2379
(916) 296-0859
Mailing address
100 ONEILL CT, FOLSOM, CA 95630-2379
(916) 296-0859
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
133VN1201X
Obesity and Weight Management Nutrition Registered Dietitian
—
—
Other
Enumeration date
11/13/2023
Last updated
11/13/2023
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