Individual
MS. MILAGROS DANET NOVOA DE PERALES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
413 E POST RD, ROGERS, AR 72758-9043
(479) 636-3202
Mailing address
413 E POST RD, ROGERS, AR 72758-9043
(479) 636-3202
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
0775912001
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
155138783
—
AR
Enumeration date
05/05/2008
Last updated
05/08/2008
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