Johnilee Slark, RD
NPI #1134236490 in Marshfield, Wisconsin
Provider Information
- NPI Number
- 1134236490
- Entity Type
- Individual
- Name
- Johnilee Slark, RD
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dietitian, Registered
- Credential
- RD
- Enumeration Date
- Aug 24, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 1000 N OAK AVE
- City
- Marshfield
- State
- Wisconsin
- ZIP Code
- 54449-5777
- Phone
- (715) 387-5480
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dietitian, Registered |
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