Individual
HEATHER BENAE GHORMLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
1100 N COLLEGE AVE, FAYETTEVILLE, AR 72703-1944
(479) 443-4301
(479) 587-5949
Mailing address
15228 N HIGHWAY 59, SUMMERS, AR 72769-9602
(479) 443-4301
(479) 587-5949
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1278
OK
Other
Enumeration date
07/26/2006
Last updated
10/02/2019
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