Individual
AVAIN LEIANE SPELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
114 MEDICAL PARK DR, HOPE, AR 71801-8100
(870) 474-5001
Mailing address
380 NEVADA 34, PRESCOTT, AR 71857-7101
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
07/13/2017
Last updated
08/08/2024
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