Individual
CAYLA-MARIE JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, LD
Contact information
Practice address
4301 W MARKHAM ST, SLOT # 574-01, LITTLE ROCK, AR 72205-7101
(150) 186-7062
Mailing address
4301 W MARKHAM ST, SLOT # 574-01, LITTLE ROCK, AR 72205-7101
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
07/15/2015
Last updated
07/15/2015
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