Individual
MRS. MARY MARLENE DARRAGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
123 ALABAMA DR, JACKSONVILLE, AR 72076-1002
(501) 983-9601
Mailing address
123 ALABAMA DR, JACKSONVILLE, AR 72076-1002
(501) 983-9601
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
R82120
AR
Other
Enumeration date
12/15/2008
Last updated
12/15/2008
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