Nicole Staton

NPI #1306133061 in Benton, Arkansas

Provider Information

NPI Number
1306133061
Entity Type
Individual
Name
Nicole Staton
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Specialist/Technologist
Enumeration Date
Jul 1, 2011
Last Updated
Jul 1, 2011

Practice Location

Address
3214 WINCHESTER
City
Benton
ZIP Code
72015-2929
Phone
(501) 326-6160

Specialties & Taxonomy Codes

Specialty
Specialist/Technologist

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