Julie W. Clark, MS, RD, LD, CDE

NPI #1073748349 in Jefferson, Iowa

Provider Information

NPI Number: 1073748349
Entity Type: Individual
Name: Julie W. Clark, MS, RD, LD, CDE
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dietitian, Registered
Credential: MS, RD, LD, CDE
Enumeration Date: May 15, 2009
Last Updated: May 8, 2015

Practice Location

Address: 106 W WASHINGTON ST.
City: Jefferson
State: Iowa
ZIP Code: 50129-1920
Phone: (515) 386-4153

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dietitian, Registered	133V00000X	Primary

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