Individual
TAYLOR AJTUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
7301 ROGERS AVE, FORT SMITH, AR 72903-4100
(479) 739-8101
Mailing address
3920 JAMES CT, VAN BUREN, AR 72956-6260
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
2353
AR
Other
Enumeration date
09/11/2023
Last updated
09/11/2023
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