Individual
ETHAN MALACHI HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RDN, LDN
Contact information
Practice address
7824 KANIS RD, LITTLE ROCK, AR 72204-2307
(501) 615-3869
Mailing address
7824 KANIS RD, LITTLE ROCK, AR 72204-2307
(501) 615-3869
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86169227
AR
Other
Enumeration date
07/22/2024
Last updated
07/22/2024
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