Clark, Xonna

Clark, Xonna is an individual health care provider with primary practice located at 9115 Erfurt Ct , Laurel MD 20708-2870. She recently has only one registered license in Dietary & Nutritional Service Providers / Nutritionist, which is considered as her primary health care specialty. Clark, Xonna can be contacted via phone (704) 516-6973.

Contact Information

Primary practice address
9115 Erfurt Ct Laurel MD 20708-2870
Phone: (704) 516-6973
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Nutritionist 133N00000X DX3670 Maryland

Profile Details

NPI number 1649676842
LBN Legal business name Clark, Xonna
Credentials MS, CNS, LDN
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 15th, 2014
Last updated Nov 15th, 2014 - about 11 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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