Individual
MRS. HOLLY DANIELLE BERNARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, LD, CDE
Contact information
Practice address
818 LEXINGTON AVE, FORT SMITH, AR 72901-4942
(479) 441-5288
(479) 441-4979
Mailing address
818 LEXINGTON AVE, FORT SMITH, AR 72901-4942
(479) 441-5288
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1639
AR
Other
Enumeration date
11/18/2019
Last updated
11/18/2019
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