Individual
MISS CHRISTEN C SPAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
115 N 10TH ST, SUITE B 105, FORT SMITH, AR 72901-2703
(479) 709-3900
Mailing address
PO BOX 546, FORT SMITH, AR 72902-0546
(479) 709-3900
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
6648
AR
Other
Enumeration date
10/17/2008
Last updated
10/17/2008
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