DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

CLEAN SLATE NUTRITION

Active Organization

CLEAN SLATE NUTRITION is a Registered Dietitian organization located in LITTLE ROCK, Arkansas. NPI 1619344157 is currently active in the NPPES registry. Verify at CMS.

Registered Dietitian · LITTLE ROCK, AR

Registration Details

NPI Number
1619344157
Provider Type
Organization
NPI Issued
Sep 1, 2015 (10.907514410804 yrs)
Last Updated
Sep 1, 2015
License
1005772 (AR)

Practice Information

Address
709 N BUCHANAN ST
LITTLE ROCK, AR, 722053264
Browse AR providers · Browse ZIP 72205
Phone
5015800295
Primary Specialty
Registered Dietitian
133V00000X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.