Individual
MISTY ANGELIQUE ROETZEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2227 W MAIN ST, SUITE 3, JACKSONVILLE, AR 72076-4207
(501) 985-9944
(501) 985-6590
Mailing address
1802 GREEN ACRES RD, JACKSONVILLE, AR 72076-2803
(501) 985-9944
(501) 985-6590
Taxonomy
Speciality
Code
Description
License number
State
246Z00000X
Other Specialist/Technologist
Primary
—
—
Other
Enumeration date
11/17/2014
Last updated
11/17/2014
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