Individual
MS. MARIAN CLARE PAQUETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, LD
Contact information
Practice address
9601 BAPTIST HEALTH DR, LITTLE ROCK, AR 72205-6321
(501) 202-1880
(501) 202-1790
Mailing address
32 GLOUCESTER DR, LITTLE ROCK, AR 72227-2118
(201) 223-5318
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
761
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5X490
MNT PROVIDER
AR
Enumeration date
06/29/2006
Last updated
01/30/2019
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