Xonna Clark MS, CNS, LDN

NPI 1649676842 - Nutritionist - 133N00000X

NPI Details
NPI 1649676842
Gender Female
Enumeration Date 11/15/2014
Last Updated 11/15/2014
Entity Type Individual
Active Over 3 years ago
Practice Location
9115 ERFURT CT
LAUREL MD, 20708-2870, US
Phone (704) 516-6973
Fax
Business Location
9115 ERFURT CT
LAUREL MD, 20708-2870, US
Phone (704) 516-6973
Fax
Toxanomy
Taxonomy Code 133N00000X
License State Maryland
License Number DX3670
Remove 1649676842 NPI Number
 

According to our database, Ms. Xonna Clark MS, CNS, LDN NPI is 1649676842, taxonomy code is 133N00000X and license number is DX3670, license state is located at Maryland. Xonna Clark MS, CNS, LDN physically located at 9115 Erfurt Ct, Laurel MD, 20708-2870. NPI Number Xonna Clark MS, CNS, LDN has the Individual type.

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1649676842 NPI number is provided on an as is basis without warranty of any kind. 1649676842 is maintained by the National Plan & Provider Enumeration System. The contents of Xonna Clark MS, CNS, LDN are for informational purposes only.