EDITH MARY CLARK

PHOENIX, AZ
NPI1376632679
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy133V00000X Dietitian, Registered
(Licence:   390874)
Enumeration Date2006-10-12
Last Update Date2007-07-09
Business Address
-- EDITH MARY CLARK MBA, RD, CDE
4212 N 16TH ST
PHOENIX, AZ 85016-5319
Phone number: 602-263-1511
Mailing Address
-- EDITH MARY CLARK MBA, RD, CDE
PO BOX 31001-0698
PASADENA, CA 91110-0698
Phone number: 602-263-1511
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