Individual
REGINA MCCORMICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D L.D.
Contact information
Practice address
1703 N BUERKLE ST, STUTTGART, AR 72160-3153
(870) 673-3511
Mailing address
139 WILLOW GROVE RD, SHERWOOD, AR 72120-3269
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1302
AR
Other
Enumeration date
06/26/2012
Last updated
06/26/2012
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