Individual
MRS. DANA KAYE WARREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSPT
Contact information
Practice address
500 E 3RD ST, RUSSELLVILLE, AR 72801-5204
(479) 968-5048
Mailing address
500 E 3RD ST, RUSSELLVILLE, AR 72801-5204
(479) 968-5048
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
1333
AR
Other
Enumeration date
12/01/2006
Last updated
07/09/2007
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