Individual
PAT PAUL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3215 N NORTHHILLS BLVD, FAYETTEVILLE, AR 72703-4424
(479) 463-7198
(479) 463-5326
Mailing address
1550 E WOODBROOK DR, FAYETTEVILLE, AR 72703-3760
(479) 463-7198
(479) 463-5326
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
198
AR
Other
Enumeration date
10/28/2008
Last updated
10/28/2008
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