Individual
SAMUEL WATERMOLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
410 OUACHITA ST, ARKADELPHIA, AR 71998-0001
(870) 245-5280
Mailing address
410 OUACHITA ST, ARKADELPHIA, AR 71998-0001
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
AR
Other
Enumeration date
08/04/2026
Last updated
08/04/2026
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