Individual
KYLEIGH GLASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDN
Contact information
Practice address
42 LEE ROAD 179, MARIANNA, AR 72360-7885
(870) 514-8764
Mailing address
42 LEE ROAD 179, MARIANNA, AR 72360-7885
(870) 514-8764
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DT91325
TX
Other
Enumeration date
11/13/2024
Last updated
11/13/2024
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