Organization
ALPHA HORN CLASSES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. RENEE MACSHALLE WELLS REGISTERED NURSE (CERTIFIED DIABETES EDUCATOR)
(501) 240-3579
Entity
Organization
Contact information
Practice address
709 SE 2ND ST, BRYANT, AR 72022-4062
(501) 240-3579
(501) 847-3010
Mailing address
PO BOX 25851, LITTLE ROCK, AR 72221-5851
(501) 240-3579
(501) 847-3010
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
21420274
AR
Other
Enumeration date
09/10/2015
Last updated
09/10/2015
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