Individual
CRISTINA ANN CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDN, ATC, C-PT
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86303770
—
2255A2300X
Athletic Trainer
AT560
ME
Other
Enumeration date
03/07/2016
Last updated
11/21/2025
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