Individual
MRS. MARLA JO SMALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, MSN
Contact information
Practice address
615 DUBOIS ST, VINCENNES, IN 47591-1048
(812) 885-8010
(812) 885-8754
Mailing address
615 DUBOIS ST, VINCENNES, IN 47591-1048
(812) 885-8010
(812) 885-8754
Taxonomy
Speciality
Code
Description
License number
State
163WD0400X
Diabetes Educator Registered Nurse
Primary
28100603A
IN
Other
Enumeration date
02/10/2020
Last updated
02/10/2020
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