Individual
MRS. AMANDA DAWSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.D., L.D.
Contact information
Practice address
4301 W MARKHAM ST, SLOT 806, LITTLE ROCK, AR 72205-7101
(501) 603-1977
Mailing address
4301 W MARKHAM ST, SLOT 806, LITTLE ROCK, AR 72205-7101
(501) 603-1977
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
724
AR
Other
Enumeration date
12/05/2014
Last updated
12/05/2014
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