Individual
BRANDON KATRELL STUBBS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2166 N MAIN ST, EUDORA, AR 71640-2269
(870) 997-1646
Mailing address
2166 N MAIN ST, EUDORA, AR 71640-2269
(870) 997-1646
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
02/25/2022
Last updated
02/25/2022
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