Individual
STEPHANIE WEST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1709 PAR DR, BRYANT, AR 72022-6729
(479) 285-1529
Mailing address
1709 PAR DR, BRYANT, AR 72022-6729
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RTP-017332
AR
Other
Enumeration date
08/17/2015
Last updated
08/17/2015
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