Individual
LAURA BLAIRE MARSOLAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ECDS
Contact information
Practice address
3100 APACHE DR, JONESBORO, AR 72401-7404
(870) 333-5437
(870) 333-5237
Mailing address
3100 APACHE DR, JONESBORO, AR 72401-7404
(870) 333-5437
(870) 333-5237
Taxonomy
Speciality
Code
Description
License number
State
261QM3000X
Medically Fragile Infants and Children Day Care
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1164957080
—
AR
Enumeration date
06/24/2021
Last updated
06/24/2021
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