SearchIdahoRegistered Dietitian

Chanel Clark, RDN, LD

NPI 1609424183 · on the registry since 2019 · sole proprietor

Practice

Address
2278 Moritz Ln
Indian Valley, ID 83632
Phone
(208) 816-8365

Registry record

Primary taxonomy
Registered Dietitian
133V00000X
Licence states on file
ID
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2019-08-28

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho