Dwayne Clacks, CERTIFIEDTRAINER
Dwayne Clacks, CERTIFIEDTRAINER is a Nutritionist in Washington, District of Columbia. Practices as a sole proprietor. Registered with an NPI since 2018.
- In the registry since
- 2018
- Specialties on file
- 2
Practice location Address checks out
1629 K St NW Ste 300Washington, DC 20006-1631
Phone: (202) 531-0195
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Specialties & licences
| Athletic Trainer (primary) | Taxonomy 2255A2300X |
|---|---|
| Nutritionist | Taxonomy 133N00000X |
Record details
| NPI number | 1396221255 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | CERTIFIEDTRAINER |
| Sole proprietor | Yes |
| NPI enumerated | July 13, 2018 |
| Last updated in NPPES | November 10, 2020 |
| Certification date | November 10, 2020 |
| Mailing address | 5703 Cypress Creek Dr Apt 3, Hyattsville, MD 20782-1806 |
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