Individual
MRS. PAMELA MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
4301 W MARKHAM ST, #574, LITTLE ROCK, AR 72205-7101
(501) 554-4439
Mailing address
1512 MILLCREEK DR, ARKADELPHIA, AR 71923-3022
(870) 245-6038
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1178
AR
133V00000X
Registered Dietitian
2179
LA
Other
Enumeration date
10/02/2009
Last updated
09/13/2018
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