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Individual

ROCHELLE PACE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
623 N 9TH ST STE 500, AUGUSTA, AR 72006-2129
(870) 347-2508
Mailing address
623 N 9TH ST STE 500, AUGUSTA, AR 72006-2129

Taxonomy

Speciality
Code
Description
License number
State
163WD0400X
Diabetes Educator Registered Nurse
Primary
R048782
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
163WD0400X
HEALTH EDUCATOR
AR
Enumeration date
01/30/2020
Last updated
01/30/2020
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