Individual
CARLIE QUALLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ECDT
Contact information
Practice address
2040 FITZHUGH ST, BATESVILLE, AR 72501-7409
(870) 793-0942
(870) 793-0965
Mailing address
2040 FITZHUGH ST, BATESVILLE, AR 72501-7409
(870) 793-0942
(870) 793-0965
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
05/20/2010
Last updated
05/20/2010
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