Individual
MRS. MICHELLE LEE MANTHE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.C.
Contact information
Practice address
5320 W SUNSET AVE STE 157, SPRINGDALE, AR 72762-4410
(479) 966-7331
(855) 618-2364
Mailing address
1615 W PERSIMMON ST STE B, ROGERS, AR 72756-3383
(479) 636-7192
(479) 631-8212
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA 401
AR
Other
Enumeration date
04/28/2008
Last updated
06/06/2024
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