Individual
JESSICA CAMP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
16 SUMMERWOOD DR, MAGNOLIA, AR 71753-8442
(870) 904-9408
Mailing address
16 SUMMERWOOD DR, MAGNOLIA, AR 71753-8442
(870) 904-9408
Taxonomy
Speciality
Code
Description
License number
State
2355A2700X
Audiology Assistant
Primary
12-0123
AR
Other
Enumeration date
09/12/2012
Last updated
09/12/2012
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