Individual
MS. MAIJA SHIRLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D., L.D.
Contact information
Practice address
1710 HARRISON ST, BATESVILLE, AR 72501-7303
(870) 262-1291
(870) 262-1365
Mailing address
2212 JONATHAN LN, SEARCY, AR 72143-5048
(501) 305-4752
(870) 262-1365
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
999
AR
Other
Enumeration date
08/13/2007
Last updated
08/13/2007
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