Individual
JACOB RIBA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
201 DONAGHEY AVE, CONWAY, AR 72035-5001
(501) 450-5112
Mailing address
6625 FOXRUN EAST END DR, MABELVALE, AR 72103-9456
(501) 529-4951
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
12/27/2018
Last updated
12/27/2018
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