Individual
AMANDA E BROYLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2003 SE WALTON BLVD, BENTONVILLE, AR 72712-3725
(479) 695-6000
(479) 750-4843
Mailing address
2400 S 48TH ST, SPRINGDALE, AR 72762-6683
(479) 725-6000
(479) 750-4843
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
04/01/2019
Last updated
04/01/2019
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