Individual
JESSICA DIANE MEILKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1005 BALCOM LN, TRUMANN, AR 72472-9502
(870) 483-1461
(870) 483-6520
Mailing address
339 EASTSIDE GDNS, TRUMANN, AR 72472-2811
(870) 271-9174
Taxonomy
Speciality
Code
Description
License number
State
373H00000X
Day Training/Habilitation Specialist
Primary
—
—
Other
Enumeration date
07/16/2012
Last updated
07/16/2012
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