Individual
BROOKLYN PYBURN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS,RD,LD
Contact information
Practice address
4301 W MARKHAM ST # 783, LITTLE ROCK, AR 72205-7101
(501) 526-6990
Mailing address
4301 W MARKHAM ST # 783, LITTLE ROCK, AR 72205-7101
(501) 686-8000
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1408
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1408
LICENSE NUMBER
AR
Enumeration date
01/26/2018
Last updated
03/22/2018
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