Organization
PRESCRIPTIVE NUTRITION, LLC
Active
Organization
PRESCRIPTIVE NUTRITION, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. GINA ANNE KERSH RDN, LD (REGISTERED DIETITIAN, NUTRITIONIST)
(479) 651-8547
Entity
Organization
Contact information
Practice address
3205 W MAIN ST, RUSSELLVILLE, AR 72801-2301
(479) 651-8547
Mailing address
3205 W MAIN ST, RUSSELLVILLE, AR 72801-2301
(479) 651-8547
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
0449
AR
Other
Enumeration date
07/09/2014
Last updated
08/15/2014
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