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MRS. DOROTHY ELLEN CLAY RD,CD

>> Dietitian, Registered >> Dietary & Nutritional Service Providers

Registrant NPI Number: 1922191998

Individual Registrant:
MRS. DOROTHY ELLEN CLAY RD,CD
Gender: F
Not Sole Proprietor

Location and contact information for practice:
4404 STATE ROAD 70  WEBSTER, WI 54893-9251 US
Tel: 715-349-8554  Fax: --

Contact information for business:
24072 SWENSON RD  WEBSTER, WI 54893-7604 US
Tel: 715-349-8554  Fax: --

Registration Information:
NPI: 1922191998
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y133V00000XDietary & Nutritional Service Providers
Dietitian, Registered
WI34-029

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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