Individual
WENDY LEE JARVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR L
Contact information
Practice address
3896 ELM SPRINGS RD, SUITE D, SPRINGDALE, AR 72762-2703
(479) 750-7778
(479) 750-7708
Mailing address
3896 ELM SPRINGS RD, SUITE D, SPRINGDALE, AR 72762-2703
(479) 750-7778
(479) 750-7708
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
OTR639
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
155431742
—
AR
01
—
5T840
BC/BS ID NUMBER
AR
Enumeration date
04/27/2006
Last updated
07/09/2007
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