Heidi Lynn Clark, RD Valid NPI

Individual provider · Registered Dietitian · Travis Afb, CA

NPI

1720154701

Type

Individual (Type 1)

Primary specialty

Registered Dietitian (Dietitian, Registered)

Specialty group

Dietary & Nutritional Service Providers

Taxonomy code

133V00000X

Sex

Female

Sole proprietor

Yes

Enumerated

2006-11-28

Last updated

2015-08-04