Individual
MRS. STACEY FLETCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
IBCLC
Contact information
Practice address
162 E SUNBRIDGE DR, FAYETTEVILLE, AR 72703-2830
(479) 936-6119
(479) 521-4161
Mailing address
202 N WALTON BLVD STE 34, BENTONVILLE, AR 72712-5175
(479) 936-6119
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
2011008416
MO
124Q00000X
Dental Hygienist
2038
AR
174N00000X
Lactation Consultant (Non-RN)
Primary
L-142878
AR
Other
Enumeration date
10/03/2014
Last updated
03/15/2024
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