Individual
AMBUR DRYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MAT, ATC, LAT, EMT-B
Contact information
Practice address
994 W MLK JR. BLVD., FAYETTEVILLE, AR 72701
(479) 444-3050
Mailing address
151 KILLDEER DR, FARMINGTON, AR 72730-8620
(479) 685-8174
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
AR
Other
Enumeration date
05/22/2018
Last updated
05/22/2018
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