Clean Slate Nutrition
Clean Slate Nutrition provides Registered Dietitian services in Little Rock, Arkansas. Licensed in Arkansas. Registered with an NPI since 2015.
- Licensed in
- AR
- In the registry since
- 2015
Practice location Address checks out
709 N Buchanan StLittle Rock, AR 72205-3264 Not confirmed with CMS for 11 years — call before visiting
Phone: (501) 580-0295
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Registered Dietitian (primary) | Taxonomy 133V00000X · Licence 1005772 (AR) |
|---|
Record details
| NPI number | 1619344157 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Peggyc Cosgrove — Dietitian/Owner · (501) 580-0295 |
| Other names | Peggy Cosgrove, Ms, Rd, Ld |
| NPI enumerated | September 1, 2015 |
| Last updated in NPPES | September 1, 2015 |
| Mailing address | 709 N Buchanan St, Little Rock, AR 72205-3264 |
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