Individual
MRS. TAMMIE JENKINS GIMENEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MHS,R.D.,L.D.
Contact information
Practice address
620 N MAIN ST, HARRISON, AR 72601-2911
(870) 414-4047
Mailing address
PO BOX 434, LEAD HILL, AR 72644
(870) 414-4047
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
489
AR
Other
Enumeration date
08/13/2009
Last updated
05/22/2014
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