Individual
VICKIE DIANE EDWARDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
127 WELLER LN, BRINKLEY, AR 72021-7016
(870) 589-3188
Mailing address
127 WELLER LN, BRINKLEY, AR 72021-7016
(870) 589-3188
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
03/22/2023
Last updated
03/22/2023
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