person
Rose Lee Shaddon, TAXI
Driver in Russellville, Arkansas
NPI 1235833302

Rose Lee Shaddon is a Driver based in Russellville, AR. Rose Lee Shaddon practices in Russellville, AR and has the professional credentials of TAXI. The NPI Number for Rose Lee Shaddon is 1235833302 and holds a License No. 0421-016067 (Arkansas).

The current practice location address for Rose Lee Shaddon is 705 Williamson Way, Russellville, AR and can be reached out via phone at 479-280-2132. You can also correspond with Rose Lee Shaddon through the mailing address at 705 WILLIAMSON WAY, RUSSELLVILLE, AR - 72801-6923 (mailing address contact number: 479-280-2132).

Location: 705 Williamson Way, Russellville, AR, 72801-6923
person
Provider Profile Details
NPI Number
1235833302
Provider Name
Rose Lee Shaddon
Credential
TAXI
Provider Entity Type
Individual
Gender
Female
Address
705 Williamson Way, Russellville, AR, 72801-6923
Phone Number
479-280-2132
Fax Number
Provider Enumeration Date
03/30/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
705 Williamson Way
City
State
Zip
72801-6923
Phone Number
479-280-2132
Fax Number
person
Provider Business Mailing Address Details
Address
705 Williamson Way
City
State
Zip
72801-6923
Phone Number
479-280-2132
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Driver
Speciality
-
Taxonomy
License No.
0421-016067 (Arkansas)
Definition
A person employed to operate a motor vehicle as a carrier of persons or property.
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