Individual
FELICIA RENEE BUMBALOUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LLM
Contact information
Practice address
1988 HOG FARM RD, TILLY, AR 72679-9731
(870) 504-3124
(936) 228-9586
Mailing address
1988 HOG FARM RD, TILLY, AR 72679-9731
(870) 504-3124
(936) 228-9586
Taxonomy
Speciality
Code
Description
License number
State
175M00000X
Lay Midwife
Primary
012022
AR
Other
Enumeration date
03/08/2022
Last updated
03/08/2022
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