Individual
SHANICA NEMBHARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3101 SE 14TH ST, BENTONVILLE, AR 72712-4900
(479) 636-9234
(479) 636-0774
Mailing address
3101 SE 14TH ST, BENTONVILLE, AR 72712-4900
(479) 636-9234
(479) 636-0774
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
215215
AR
Other
Enumeration date
10/18/2022
Last updated
11/29/2022
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