Individual
ANGELA WIESER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2710 S RIFE MEDICAL LN, ROGERS, AR 72758-1452
(479) 338-8000
Mailing address
7265 CHARLOTTE AVE, SPRINGDALE, AR 72762-8463
(479) 250-5357
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
222739
AR
Other
Enumeration date
06/24/2024
Last updated
06/24/2024
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