Individual
MRS. STEPHANIE RENEE WARREN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHLEBOTOMIST
Contact information
Practice address
703 CORNELL AVE, WEST MEMPHIS, AR 72301-5107
(901) 503-5777
Mailing address
703 CORNELL AVE, WEST MEMPHIS, AR 72301-5107
(901) 503-5777
Taxonomy
Speciality
Code
Description
License number
State
246RP1900X
Phlebotomy Technician
—
—
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
AR
Other
Enumeration date
12/18/2019
Last updated
03/09/2021
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