Individual
SAMANTHA NAEGELE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
406 S WALTON BLVD, BENTONVILLE, AR 72712-5705
(479) 268-0764
Mailing address
406 S WALTON BLVD, BENTONVILLE, AR 72712-5705
(479) 268-0764
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
L-100321
AR
Other
Enumeration date
03/03/2023
Last updated
03/03/2023
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