Individual
VIVIAN LEA BRENGARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.D.
Contact information
Practice address
2801 MEDICAL CENTER DR, POCAHONTAS, AR 72455-9436
(870) 892-6000
(870) 892-6259
Mailing address
2801 MEDICAL CENTER DR, POCAHONTAS, AR 72455-9436
(870) 892-6000
(870) 892-6259
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1172
AR
Other
Enumeration date
02/01/2013
Last updated
02/01/2013
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