Individual
JASPER AHMAD CAMPBELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
31 E CENTER ST STE 200J, FAYETTEVILLE, AR 72701-5348
(479) 301-8427
Mailing address
715 CARLTON ST, SPRINGDALE, AR 72762-5103
(479) 231-6845
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
AR5510
AR
Other
Enumeration date
01/05/2018
Last updated
04/08/2019
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