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Individual

STEPHANIE HALEY VIOLET CONTRERAS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RD, LD

Contact information

Practice address
215 N EAST AVE STE 102, FAYETTEVILLE, AR 72701-5296
(479) 652-5711
Mailing address
2532 N TRAFALGER DR, FAYETTEVILLE, AR 72704-6090
(479) 652-5711

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1979
AR

Other

Enumeration date
11/16/2020
Last updated
11/16/2020
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