Individual
MRS. CRYSTAL GALE RICKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD LD
Contact information
Practice address
1910 MALVERN AVENUE, HOT SPRINGS, AR 71901-9638
(501) 321-1000
Mailing address
1910 MALVERN AVENUE, HOT SPRINGS, AR 71901-9638
(501) 321-1000
Taxonomy
Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
Primary
1049
AR
Other
Enumeration date
10/28/2016
Last updated
10/28/2016
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