MRS. Deitra A Moring, MS, RD, LD

NPI #1235377797 in Benton, Arkansas

Provider Information

NPI Number
1235377797
Entity Type
Individual
Name
MRS. Deitra A Moring, MS, RD, LD
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Dietitian, Registered
Credential
MS, RD, LD
Enumeration Date
Jan 21, 2009
Last Updated
Jan 21, 2009

Practice Location

Address
1 MEDICAL PARK DR
City
Benton
ZIP Code
72015-3353
Phone
(501) 776-6051

Specialties & Taxonomy Codes

Specialty
Dietitian, Registered

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