Individual
MARY REYNOLDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
16818 HALE MOUNTAIN RD, MORROW, AR 72749-9731
(479) 439-0279
Mailing address
PO BOX 20, MORROW, AR 72749-0020
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R84724
AR
Other
Enumeration date
12/10/2015
Last updated
12/10/2015
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