Carmelinda Clark-Bouchard, RD

NPI #1588060172 in Potsdam, New York

Provider Information

NPI Number
1588060172
Entity Type
Individual
Name
Carmelinda Clark-Bouchard, RD
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Dietitian, Registered
Credential
RD
Enumeration Date
Nov 10, 2014
Last Updated
Nov 10, 2014

Practice Location

Address
64 WAVERLY ST
ZIP Code
13676-1607
Phone
(315) 212-6989

Specialties & Taxonomy Codes

Specialty
Dietitian, Registered

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