Individual
MS. MELANIE A DUMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
624 W 23RD AVE, PINE BLUFF, AR 71601-6304
(870) 534-7679
Mailing address
PO BOX 2545, PINE BLUFF, AR 71613-2545
(870) 534-7679
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
160835783
—
AR
Enumeration date
07/16/2008
Last updated
07/16/2008
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