Individual
MS. ANGELA GAIL SKINNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, LD
Contact information
Practice address
1403 GREENE ROAD 313, PARAGOULD, AR 72450-7217
(870) 573-7061
Mailing address
1403 GREENE ROAD 313, PARAGOULD, AR 72450-7217
(870) 573-7061
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
623
AR
Other
Enumeration date
04/05/2012
Last updated
04/05/2012
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