Individual
JACQUELINE MARIE KOMAREK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
7507 WARDEN RD, SHERWOOD, AR 72120-5042
(501) 301-4530
(501) 251-1165
Mailing address
1501 RAHLING RD APT 408, LITTLE ROCK, AR 72223-4651
(501) 317-7348
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
07/31/2019
Last updated
11/27/2023
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