THERESA S. CLARK

HOPKINSVILLE, KY
NPI1013120948
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy133V00000X Dietitian, Registered
(Licence: KY  KY-0517)
Enumeration Date2007-05-07
Last Update Date2016-08-05
Business Address
Mrs. THERESA S. CLARK MSRD,C.D.E., L.D.
530 NOEL AVE
HOPKINSVILLE, KY 42240-1386
Phone number: 270-707-0060
Mailing Address
Mrs. THERESA S. CLARK MSRD,C.D.E., L.D.
530 NOEL AVE
HOPKINSVILLE, KY 42240-1386
Phone number: 270-707-0060