MRS. Derrica Conklin

NPI #1497139174 in Fayetteville, Arkansas

Provider Information

NPI Number: 1497139174
Entity Type: Individual
Name: MRS. Derrica Conklin
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Doula
Enumeration Date: Jul 13, 2015
Last Updated: Jul 13, 2015

Practice Location

Address: 3359 W CORNELL DR
City: Fayetteville
State: Arkansas
ZIP Code: 72704-6775
Phone: (479) 200-8054

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Doula	374J00000X	Primary

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