Individual
DIANE K HANES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2205 SW 20TH ST, BENTONVILLE, AR 72713-9494
(775) 291-9644
Mailing address
2205 SW 20TH ST, BENTONVILLE, AR 72713-9494
(775) 291-9644
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
—
—
Other
Enumeration date
06/28/2024
Last updated
06/28/2024
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