Individual
MRS. CHASSIE LANE SHARPMACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S. R.D. L.D.
Contact information
Practice address
3214 E RACE AVE, SEARCY, AR 72143-4810
(501) 380-2250
Mailing address
40 WOODBRIDGE DR, CABOT, AR 72023-3967
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
969182
AR
Other
Enumeration date
07/27/2006
Last updated
07/08/2007
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