Individual
SOPHIA M MOES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
803 N CRATER AVE # 1, FAYETTEVILLE, AR 72704-5379
(402) 660-6874
Mailing address
803 N CRATER AVE # 1, FAYETTEVILLE, AR 72704-5379
(402) 660-6874
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86415355
AR
Other
Enumeration date
05/18/2026
Last updated
05/18/2026
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