NPI 1003505769

Leanna Renee Clark, RDN

Practitioner Registered Dietitian Brick, NJ

Practice location

Address: 321 Herbertsville Road, First Floor, Brick, NJ 08724
Phone: (732) 709-7730
Mailing address: 912 Park Place, Red Bank, NJ 07701

Registered specialties

Registered Dietitian Primary

Dietary & Nutritional Service Providers Taxonomy 133V00000X Licence 86116322 (NJ)

Other Dietitian, Registered providers in New Jersey →

Registry record

NPI: 1003505769
Entity type: Individual
Sex (as registered): Female
NPI issued: 8 May 2023
Record last updated: 8 May 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.