Individual
MRS. AMANDA WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD, LD
Contact information
Practice address
88 SUGAR RIDGE LN, TEXARKANA, AR 71854-9285
(318) 614-9641
Mailing address
88 SUGAR RIDGE LN, TEXARKANA, AR 71854-9285
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DT80302
TX
Other
Enumeration date
01/10/2012
Last updated
01/10/2012
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