COURTNEY TACKETT FOSE

BENTON, AR
NPI1962742023
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy133V00000X Dietitian, Registered
(Licence: AR  1199)
Enumeration Date2013-02-26
Last Update Date2013-02-26
Business Address
COURTNEY TACKETT FOSE R.D., L.D.
1 MEDICAL PARK DR
BENTON, AR 72015-3353
Phone number: 501-776-6052
Mailing Address
COURTNEY TACKETT FOSE R.D., L.D.
138 LOTUS PL
HOT SPRINGS, AR 71901-9220
Phone number:
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