Individual
REBA FLOIS THOMPSON
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) 444-5043
(479) 587-5949
Mailing address
21815 CINDY RD, SPRINGDALE, AR 72764-9058
(479) 466-6272
(479) 587-5949
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
1324
OK
133V00000X
Registered Dietitian
Primary
528
AR
133V00000X
Registered Dietitian
—
—
Other
Enumeration date
10/05/2005
Last updated
09/23/2019
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