Individual
AVERY JEAN VANCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDN, LDN
Contact information
Practice address
2420 LINWOOD DR # 3, PARAGOULD, AR 72450-6122
(870) 236-9756
Mailing address
1300 MICHAEL ST, PARAGOULD, AR 72450-5522
(870) 476-4905
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1983
AR
Other
Enumeration date
06/12/2023
Last updated
06/12/2023
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