CHANEL CLARK

INDIAN VALLEY, ID
NPI1609424183
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy133V00000X Dietitian, Registered
(Licence: ID  D-859)
Enumeration Date2019-08-28
Last Update Date2019-08-28
Business Address
CHANEL CLARK RDN, LD
2278 MORITZ LN
INDIAN VALLEY, ID 83632-5019
Phone number: 208-816-8365
Mailing Address
CHANEL CLARK RDN, LD
2278 MORITZ LN
INDIAN VALLEY, ID 83632-5019
Phone number: