Clark, Andrea

Clark, Andrea is an individual health care provider with primary practice located at 1 Childrens Pl Food And Nutrition Ls-15, Saint Louis MO 63110-1002. She recently has only one registered license in Dietary & Nutritional Service Providers / Nutrition, Pediatric, which is considered as her primary health care specialty. Clark, Andrea can be contacted via phone (314) 454-2648.

Contact Information

Primary practice address
1 Childrens Pl Food And Nutrition Ls-15 Saint Louis MO 63110-1002
Phone: (314) 454-2648
Fax: (314) 454-2557
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Nutrition, Pediatric 133VN1004X 133VN1004X Missouri

Profile Details

NPI number 1063863959
LBN Legal business name Clark, Andrea
Credentials RD, LD
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 22nd, 2016
Last updated Jun 22nd, 2016 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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