Individual
MRS. VIRGINIA D PIPPIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
IBCLC
Contact information
Practice address
2211 MAIN DR, FAYETTEVILLE, AR 72704-5292
(479) 485-1215
Mailing address
37 LANCASTER DR, BELLA VISTA, AR 72715-5329
(337) 207-5179
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
L-311049
LA
Other
Enumeration date
07/25/2023
Last updated
07/25/2023
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