Individual
KATIE ROBERTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
36422 BLACKFORK TRL, MENA, AR 71953-9092
(479) 216-9899
Mailing address
36422 BLACKFORK TRL, MENA, AR 71953-9092
(479) 216-9899
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
—
—
Other
Enumeration date
08/24/2024
Last updated
08/24/2024
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