Individual
MRS. SHELLEY WASSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPM, LM
Contact information
Practice address
508 6TH ST, BARLING, AR 72923-2107
(479) 420-6497
(479) 484-5619
Mailing address
508 6TH ST, BARLING, AR 72923-2107
(479) 420-6497
(479) 484-5619
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
012008
AR
Other
Enumeration date
05/27/2009
Last updated
05/27/2009
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