CARLY ELIZABETH GRACE

FAYETTEVILLE, AR
NPI1770264277
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy174N00000X Lactation Consultant, Non-RN
Additional Taxonomies133V00000X Dietitian, Registered
(Licence: AR  1140)
Enumeration Date2023-07-27
Last Update Date2023-07-27
Business Address
CARLY ELIZABETH GRACE RD, IBCLC
6035 W TRANSIT ST
FAYETTEVILLE, AR 72704-5097
Phone number: 479-485-1215
Mailing Address
CARLY ELIZABETH GRACE RD, IBCLC
3069 N NIGHT HERON DR
FAYETTEVILLE, AR 72704-5007
Phone number: