Jennifer Ann Spore, R.D. Valid NPI

Individual provider · Registered Dietitian · Mountain Home, AR

NPI

1467774158

Type

Individual (Type 1)

Primary specialty

Registered Dietitian (Dietitian, Registered)

Specialty group

Dietary & Nutritional Service Providers

Taxonomy code

133V00000X

License number

1145 (AR)

Sex

Female

Sole proprietor

No

Enumerated

2010-02-22

Last updated

2010-02-22