Individual
COLLEEN JODY CONWAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
14991 HIGHWAY 80, DANVILLE, AR 72833-6045
(479) 495-3219
Mailing address
14991 HIGHWAY 80, DANVILLE, AR 72833-6045
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
09/26/2019
Last updated
09/26/2019
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