ETHAN P BALDRIDGE

LITTLE ROCK, AR
NPI1073031712
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy133V00000X Dietitian, Registered
(Licence: AR  1699)
Enumeration Date2017-09-01
Last Update Date2017-09-01
Business Address
ETHAN P BALDRIDGE RD
7 SHACKLEFORD BLVD W
LITTLE ROCK, AR 72211-3886
Phone number: 501-664-5860
Mailing Address
ETHAN P BALDRIDGE RD
7 SHACKLEFORD WEST BLVD
LITTLE ROCK, AR 72211-3886
Phone number: 501-978-3780
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