Individual
VIRGINIA BRANAM LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1400 DAVIS STREET, BENTON, AR 72019
(501) 776-2610
Mailing address
PO BOX 662, 1400 DAVIS STREET, BENTON, AR 72018
(501) 776-2610
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
200741003RN
OR
Other
Enumeration date
09/26/2008
Last updated
09/26/2008
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