Individual
JOANNA L DAUGHETY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
REGISTERED DIETITIAN
Contact information
Practice address
406 RODGERS DR, SEARCY, AR 72143-7433
(501) 279-7979
(501) 305-7433
Mailing address
PO BOX 497, AUGUSTA, AR 72006-0497
(870) 347-2534
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1616
AR
Other
Enumeration date
05/17/2021
Last updated
05/25/2021
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