Individual
MADDY RAE MARTINEAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
901 S 52ND ST, ROGERS, AR 72758-8637
(877) 622-4211
(877) 622-4211
Mailing address
1329 W STADIUM DR, FAYETTEVILLE, AR 72701-4757
(281) 965-1046
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
NA
AR
Other
Enumeration date
05/14/2026
Last updated
05/14/2026
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