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SOUDARATH LIU

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
1401 N WALTON BLVD, BENTONVILLE, AR 72712-4676
(479) 319-5355
Mailing address
5418 S FIREPLACE DR, ROGERS, AR 72758-4601
(479) 685-2237

Taxonomy

Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
217965
AR

Other

Enumeration date
01/16/2022
Last updated
01/16/2022
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