Rachael L Clark

NPI #1194403865 in Eagle Mountain, Utah

Provider Information

NPI Number: 1194403865
Entity Type: Individual
Name: Rachael L Clark
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dietitian, Registered
Enumeration Date: Jul 11, 2023
Last Updated: Jul 11, 2023

Practice Location

Address: 4095 E PONY EXPRESS PKWY
City: Eagle Mountain
State: Utah
ZIP Code: 84005-5529
Phone: (801) 429-8037

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dietitian, Registered	133V00000X	Primary

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