Individual
REBECCA BURGESS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4471 BANNER MOUNTAIN RD, SHIRLEY, AR 72153-8428
(501) 253-0043
Mailing address
4471 BANNER MOUNTAIN RD, SHIRLEY, AR 72153-8428
(501) 253-0043
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
AR
Other
Enumeration date
06/22/2022
Last updated
07/02/2022
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