LILY E FORMBY

LITTLE ROCK, AR
NPI1508439480
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy133V00000X Dietitian, Registered
(Licence: AR  2092)
Enumeration Date2021-07-20
Last Update Date2021-07-26
Business Address
LILY E FORMBY RD
8924 KANIS RD
LITTLE ROCK, AR 72205-6414
Phone number: 501-455-2712
Mailing Address
LILY E FORMBY RD
PO BOX 497
AUGUSTA, AR 72006-0497
Phone number: 870-347-2534
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