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Individual

MR. DAKOTA WEATHERFORD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MS, RD, LD

Contact information

Practice address
115 RISING MOON LN, HOT SPRINGS, AR 71901-8985
(501) 276-5874
Mailing address
115 RISING MOON LN, HOT SPRINGS, AR 71901-8985
(501) 276-5874

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1919
AR

Other

Enumeration date
08/29/2024
Last updated
08/29/2024
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