Lisa Bass, DIETARY AIDE
NPI #1275960759 in Clarksville, Arkansas
Provider Information
- NPI Number
- 1275960759
- Entity Type
- Individual
- Name
- Lisa Bass, DIETARY AIDE
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dietary Manager
- Credential
- DIETARY AIDE
- Enumeration Date
- Sep 30, 2013
- Last Updated
- Sep 30, 2013
Practice Location
- Address
- 522 MILL RD
- City
- Clarksville
- State
- Arkansas
- ZIP Code
- 72830-8511
- Phone
- (479) 705-1301
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dietary Manager |
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