Individual
LISA FELLOWS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10 COLONY CV, WHITE HALL, AR 71602-8930
(870) 718-7431
Mailing address
10 COLONY CV, WHITE HALL, AR 71602-8930
(870) 718-7431
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
AR5733
AR
Other
Enumeration date
04/29/2021
Last updated
09/28/2021
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