Individual
KATHRYN BROOKS GILLERLAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPH, RD, LDN, CSCS
Contact information
Practice address
258 S AMBER DAWN AVE, FARMINGTON, AR 72730-3153
(757) 472-4534
Mailing address
258 S AMBER DAWN AVE, FARMINGTON, AR 72730-3153
(757) 472-4534
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
06/17/2024
Last updated
06/17/2024
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