Individual
MRS. BRANDY ERIN FULLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD,LD
Contact information
Practice address
1703 N BUERKLE ST, STUTTGART, AR 72160
(870) 674-6603
Mailing address
704 S MAPLE ST, STUTTGART, AR 72160-4712
(501) 240-6382
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
980
AR
Other
Enumeration date
06/04/2018
Last updated
06/15/2018
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