Molly Patricia Clark in San Leandro - Dietitian, Registered
Molly Patricia Clark - NPI 1508814666
Molly Patricia Clark is a Dietitian, Registered in San Leandro, California. Molly Patricia Clark practices all healthcare services and medical treatments related to Dietitian, Registered. The NPI Number for Molly Patricia Clark is 1508814666. The last update date is 2022-01-03.
Molly Patricia Clark's current location address is 2500 Merced St, San Leandro, California. You can contact this provider via phone number 5104541000. The mailing address for Molly Patricia Clark is 2500 Merced St, San Leandro, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Molly Patricia Clark |
|---|---|
| Address | 2500 Merced St, San Leandro, California |
| Phone Number | 5104541000 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | RD |
NPI Number Detail
| NPI Number | 1508814666 |
|---|---|
| Provider Enumeration Date | 2006-05-04 |
| Last Updated Date | 2022-01-03 |
Provider Mailing Address Detail
| Address | 2500 Merced St |
|---|---|
| City | San Leandro |
| State | California (CA) |
| Post Code | 945774201 |
| Phone Number | 5104541000 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Dietitian, Registered |
|---|---|
| Taxonomy | 133V00000X |
| Licence No | DI00001478 |
|
Definition: A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 8369571 | WA | -- | |
| 172923 | WA | L&I PIN |
Post Comment/ Review Below
What is the Molly Patricia Clark's 1508814666?
The Molly Patricia Clark's NPI (National Provider Identifier) Number is 1508814666. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Molly Patricia Clark?
The Molly Patricia Clark is situated at 2500 Merced St, in the city of San Leandro, state of CA, with the zip code 945774201.
What is Molly Patricia Clark's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Molly Patricia Clark is Dietitian, Registered, and the taxonomy code that classifies this field of practice is 133V00000X.
When did the Molly Patricia Clark receive its 1508814666?
The Molly Patricia Clark was issued its 1508814666 on 2006-05-04, which is the date when the organization was assigned this unique identifier.
As of what date were the Molly Patricia Clark's details last updated?
The information pertaining to the Molly Patricia Clark, including its address, specialty, and other details, was most recently updated on 2022-01-03.