Individual
ROBI EVERT AZUCENA TIAMZON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
609 W MAPLE AVE, SPRINGDALE, AR 72764-5335
(479) 757-2600
Mailing address
7290 NAPA VALLEY LN APT 101, SPRINGDALE, AR 72762-0791
(479) 770-4811
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
Primary
217312
AR
Other
Enumeration date
06/27/2022
Last updated
06/27/2022
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