Individual
MS. SHAWNA DEE GRAYHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
STATE LICENSE
Contact information
Practice address
1609 W MAIN ST, RUSSELLVILLE, AR 72801-2719
(479) 967-7538
(479) 968-9077
Mailing address
1609 W MAIN ST, RUSSELLVILLE, AR 72801-2719
(479) 967-7538
(479) 968-9077
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
AR590
AR
Other
Enumeration date
08/18/2008
Last updated
12/17/2009
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