Individual
ALICIA NICHOLE POLK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2612 S WALTON BLVD, BENTONVILLE, AR 72712-7558
(479) 395-1115
Mailing address
2612 S WALTON BLVD, BENTONVILLE, AR 72712-7558
(479) 395-1115
Taxonomy
Speciality
Code
Description
License number
State
246Z00000X
Other Specialist/Technologist
Primary
6779
AR
Other
Enumeration date
02/24/2025
Last updated
02/24/2025
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