Clark, Andrea

Clark, Andrea is an individual health care provider with primary practice located at 720 S River Rd Ste D1100 , St George UT 84790-5522. She recently has only one registered license in Dietary & Nutritional Service Providers / Nutrition, Renal, which is considered as her primary health care specialty. Clark, Andrea can be contacted via phone (435) 656-0857.

Contact Information

Primary practice address
720 S River Rd Ste D1100 St George UT 84790-5522
Phone: (435) 656-0857
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Nutrition, Renal 133VN1005X

Profile Details

NPI number 1710198528
LBN Legal business name Clark, Andrea
Credentials RENAL DIETITIAN
Entity Individual
Sole proprietor 1 No
Enumeration date May 24th, 2007
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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