Individual
ASHLEY BIBBY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1940 CLARKS DR, CONWAY, AR 72034-2929
(501) 269-1292
Mailing address
1940 CLARKS DR, CONWAY, AR 72034-2929
(501) 269-1292
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
L057513
AR
Other
Enumeration date
03/04/2016
Last updated
03/04/2016
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