Individual
TANYA LEANN REED MULLENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, RD, LD
Contact information
Practice address
4301 W MARKHAM ST, 574, LITTLE ROCK, AR 72205-7101
(501) 526-6990
(501) 526-7977
Mailing address
46 SPRINGRIDGE DR, LITTLE ROCK, AR 72211-5430
(870) 612-3576
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
984
AR
Other
Enumeration date
12/11/2008
Last updated
03/28/2016
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