| NPI | 1184825408 |
|---|---|
| Doing Business As | RAINBOW PEDIATRIC SERVICES, PLLC |
| Entity Type | Organization |
| Authorized Contact | MARILOU SHREVE-DOFFIN Owner 479-464-8231 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: AR A01589) |
| Additional Taxonomies | 208000000X Pediatrics |
| Enumeration Date | 2007-05-31 |
| Last Update Date | 2008-09-30 |