Doctor Name: | MS. CONSTANCE FAYE BONE |
NPI Number: | 1639300189 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | R.D., L.D., CNSD |
License Number: | 492 |
Business Practice Address: | 1001 Towson Ave Fort Smith, AR - 729014921 |
Business Phone Number: | 4794415289 |
Business Fax Number: | |
Mailing Address: | 10320 Old 81 Loop, RUDY |
State: | AR |
Postal Code: | 729529776 |
Phone Number: | 4794102453 |
Fax Number: | |
NPI Enumeration Date: | 07/31/2009 |
NPI Last Update Date: | 07/31/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | 492 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AR |
Taxonomy Type: | Dietary & Nutritional Service Providers |
Taxonomy Classification: | Dietitian, Registered |
Taxonomy Specialization: | |
Taxonomy Definition: | A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor |