Jordan Clark
NPI #1245611623 in Front Royal, Virginia
Provider Information
- NPI Number
- 1245611623
- Entity Type
- Individual
- Name
- Jordan Clark
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dietitian, Registered
- Enumeration Date
- Jun 11, 2015
- Last Updated
- Jun 11, 2015
Practice Location
- Address
- 1000 N SHENANDOAH AVE
- City
- Front Royal
- State
- Virginia
- ZIP Code
- 22630-3547
- Phone
- (540) 636-0300
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dietitian, Registered |
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