Individual
LESLIE SUTTON MCNALLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
12010 TIMBER CREEK RD, NORTH LITTLE ROCK, AR 72118-1725
(501) 529-0508
Mailing address
12010 TIMBER CREEK RD, NORTH LITTLE ROCK, AR 72118-1725
(501) 529-0508
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
000991082
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000991082
LICENSE
AR
Enumeration date
05/08/2007
Last updated
01/30/2020
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