Pediatric Nutrition Provider of Arkansas
NPI #1265569453 in Benton, Arkansas
Provider Information
- NPI Number
- 1265569453
- Entity Type
- Organization
- Organization Name
- Pediatric Nutrition Provider of Arkansas
- Primary Specialty
- Durable Medical Equipment & Medical Supplies
- Enumeration Date
- Feb 27, 2007
- Last Updated
- Aug 22, 2020
Practice Location
Authorized Official
- Name
- MRS. NICOLE C MOTTO
- Title
- CO-OWNER
- Phone
- (501) 315-7337
Specialties & Taxonomy Codes
| Specialty |
|---|
| Durable Medical Equipment & Medical Supplies |
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