Individual
MADISON MAROUK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
955 WATER ST, BATESVILLE, AR 72501-3455
(870) 793-6831
Mailing address
955 WATER ST STE C, BATESVILLE, AR 72501-3455
(870) 793-6831
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
SP201173
AR
Other
Enumeration date
08/28/2020
Last updated
08/28/2020
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