Individual
MARY DANFORTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
610 BROADMOOR DR, MOUNTAIN HOME, AR 72653-2903
(870) 508-7530
Mailing address
610 BROADMOOR DR, MOUNTAIN HOME, AR 72653-2903
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1433
AR
Other
Enumeration date
06/01/2015
Last updated
06/01/2015
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