Individual
MELISSA KAYE MABE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1005 BALCOM LN, TRUMANN, AR 72472-9502
(870) 483-1461
Mailing address
120 EAST CARLSON ST, TRUMANN, AR 72472
Taxonomy
Speciality
Code
Description
License number
State
246Z00000X
Other Specialist/Technologist
Primary
246Z00000X
AR
Other
Enumeration date
02/08/2010
Last updated
02/08/2010
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