Individual
RYAN TIMMONS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
920 UNIVERSITY DR, RUSSELLVILLE, AR 72801-4303
(479) 967-2322
Mailing address
PO BOX 2109, RUSSELLVILLE, AR 72811-2109
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
214497
AR
Other
Enumeration date
03/07/2022
Last updated
03/07/2022
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