CANDACE CLARK

LONGVIEW, WA
NPI1609297431
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy133V00000X Dietitian, Registered
(Licence: WA  DI 60269049)
Enumeration Date2013-12-20
Last Update Date2013-12-20
Business Address
-- CANDACE CLARK RD, CD, CDE
1615 DELWARE STREET
LONGVIEW, WA 98632
Phone number: 360-414-2000
Mailing Address
-- CANDACE CLARK RD, CD, CDE
1615 DELWARE STREET P.O. BOX 3002
LONGVIEW, WA 98632
Phone number: 360-414-2000
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