Individual
CANDACE NICOLE MEINARDUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1404 KEYSTONE LOOP, MULBERRY, AR 72947-9129
(479) 739-4604
Mailing address
1404 KEYSTONE LOOP, MULBERRY, AR 72947-9129
(479) 739-4604
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2496
AR
Other
Enumeration date
09/12/2012
Last updated
09/12/2012
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