Individual
TRINA MARIE WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
1001 TOWSON AVE, FORT SMITH, AR 72919-0001
(479) 441-5276
Mailing address
1418 E HIGHWAY 45, FORT SMITH, AR 72916-8358
(479) 461-3633
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
911382
AR
Other
Enumeration date
06/07/2007
Last updated
07/08/2007
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