Individual
DORRIS FAYE WEST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LIC. OPTICIAN
Contact information
Practice address
103 SOUTH OAK STREET, SHERIDAN, AR 72150
(870) 942-5171
(870) 942-5171
Mailing address
103 SOUTH OAK STREET, SHERIDAN, AR 72150
(870) 942-5171
(870) 942-5171
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
L-068837
AR
Other
Enumeration date
03/07/2012
Last updated
03/07/2012
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