Individual
MRS. VIDA RETZLAFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
101 MCGOWAN CT, HOT SPRINGS, AR 71913-6451
(501) 623-2781
(501) 623-1774
Mailing address
101 MCGOWAN CT, HOT SPRINGS, AR 71913-6451
(501) 623-2781
(501) 623-1774
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
475
AR
Other
Enumeration date
06/30/2006
Last updated
07/08/2007
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