Rose Lee Shaddon, TAXI
Rose Lee Shaddon, TAXI is a Driver in Russellville, Arkansas. Licensed in Arkansas. Registered with an NPI since 2023.
- Licensed in
- AR
- In the registry since
- 2023
Practice location Address checks out
705 Williamson WayRussellville, AR 72801-6923
Phone: (479) 280-2132
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Driver (primary) | Taxonomy 172A00000X · Licence 0421-016067 (AR) |
|---|
Record details
| NPI number | 1235833302 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | TAXI |
| Sole proprietor | No |
| NPI enumerated | March 30, 2023 |
| Last updated in NPPES | March 30, 2023 |
| Certification date | March 30, 2023 |