Individual
MRS. JOANNA LEIGH CUPP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, RD, LDN
Contact information
Practice address
106 NORTH CARAWAY, EUGENE SMITH ROOM 410, STATE UNIVERSITY, AR 72467-7246
(870) 680-8295
Mailing address
106 NORTH CARAWAY, EUGENE SMITH ROOM 410, STATE UNIVERSITY, AR 72467
(870) 680-8295
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
164.005327
IL
Other
Enumeration date
01/20/2012
Last updated
09/09/2020
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