Individual
HEATHER YVONNE BLANKENSHIP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D.A
Contact information
Practice address
2014 SIMMS ST, CONWAY, AR 72034-6316
(501) 940-6216
Mailing address
2014 SIMMS ST, CONWAY, AR 72034-6316
(501) 940-6216
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
9633
AR
Other
Enumeration date
04/01/2013
Last updated
04/01/2013
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