Individual
AMBER LYNN BISHOP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
412 E FAULKNER ST, EL DORADO, AR 71730-5802
(870) 881-4677
Mailing address
412 E FAULKNER ST, EL DORADO, AR 71730-5802
(870) 881-4677
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
PTA 2218
AR
Other
Enumeration date
12/05/2007
Last updated
12/05/2007
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