Individual
SHUNTIA BUSH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1002 W 37TH ST, NORTH LITTLE ROCK, AR 72118-4832
(501) 812-4832
Mailing address
213 LINDENHURST DR, NORTH LITTLE ROCK, AR 72118-3104
(501) 626-8507
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
—
AR
Other
Enumeration date
04/24/2015
Last updated
04/24/2015
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