Individual
MRS. AUDRA BRADFORD HARTWICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., R.D., L.D.
Contact information
Practice address
4301 W MARKHAM ST, SLOT 574, LITTLE ROCK, AR 72205-7101
(501) 686-7183
Mailing address
4301 W MARKHAM ST, SLOT 574, LITTLE ROCK, AR 72205-7101
(501) 626-9845
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
898
AR
Other
Enumeration date
05/14/2010
Last updated
05/14/2010
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