Individual
MS. STACY ANN HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
403 DEMUTH LANE, BENTON, AR 72019
(501) 315-1772
Mailing address
403 DEMUTH LANE, BENTON, AR 72019
(501) 315-1772
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
10/20/2011
Last updated
10/20/2011
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